Organization Active NPI

Rochester Family Dental

  • Pediatric Dentistry
  • Rochester, NY
National Provider Identifier
1922348150
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
030884 Issued in NY
Legal business name
ROCHESTER FAMILY DENTAL
Practice address
2024 W Henrietta Rd
Suite 1a
Rochester, NY 14623-1355
Phone
(585) 271-4700
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alan NewmanNPI 1295941557
Title
Owner
Phone
(585) 271-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 030884 NY Primary

Addresses

Primary practice location

2024 W Henrietta Rd
Suite 1a
Rochester, NY 14623-1355

Mailing address

2024 W Henrietta Rd
Suite 1a
Rochester, NY 14623-1355
Phone (585) 271-4700

Other identifiers 1

IdentifierTypeStateIssuer
00426917MedicaidNY

National Provider Directory

National Provider Directory

Locations

2024 W Henrietta Rd
Ste 1A
Rochester, NY 14623
Phone (585) 271-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1922348150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD",
            "address_2": "SUITE 1A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231355",
            "telephone_number": "585-271-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD",
            "address_2": "SUITE 1A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231355",
            "telephone_number": "585-271-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-271-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "030884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00426917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.