Mary Ann Panara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044604 Issued in NY

Practice address

83 S Main St
Fairport, NY 14450-2134

Phone

(585) 223-9323

Fax

(585) 223-0702

NPI assigned

Oct 25, 2006

Last updated

Feb 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Ann Panara DDS and Jeffrey P Panara DDS

  dba Fairport Family Dental

  • General Practice Dentistry
  • Fairport, NY
  • NPI 1770011728
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1932283058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SOUTH MAIN STREET",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-223-9323",
            "fax_number": "585-223-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502134",
            "telephone_number": "585-223-9323",
            "fax_number": "585-223-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARA",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "7040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Ottney, OTR/L
• Painted Post, LLC (Perinton Park Manor)
• Megan Palanski, LMHC
• Erin Taylor Palma, RDN CDN CDE HERBLST
• Jeffrey P Panara, DDS
• Vincent Pandolfi, PHD
• Julianne Reeh Parker-Mintz
• Alexis Brea Parker, OTA
• Donna H. Parker, PT
• Jay D Parnes, DDS

• General Practice Dentistry in Fairport, NY
• Providers in Fairport, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.