NPIMap

Organization Active NPI

Peter Pellittieri DDS, PC

  • General Practice Dentistry
  • Webster, NY
National Provider Identifier
1942333299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022000 Issued in NY
Legal business name
PETER PELLITTIERI DDS, PC
Practice address
1630 Empire Blvd
Suite 3
Webster, NY 14580-2182
Phone
(585) 671-0770
Fax
(585) 671-1750
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter Pellittieri, DDSNPI 1750454948
Title
President
Phone
(585) 671-0770

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 022000 NY Primary

Addresses

Primary practice location

1630 Empire Blvd
Suite 3
Webster, NY 14580-2182

Mailing address

1630 Empire Blvd
Suite 3
Webster, NY 14580-2182
Phone (585) 671-0770

National Provider Directory

National Provider Directory

Locations

1630 Empire Blvd
Ste 3
Webster, NY 14580
Phone (585) 671-0770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942333299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 EMPIRE BLVD",
            "address_2": "SUITE 3",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802182",
            "telephone_number": "585-671-0770",
            "fax_number": "585-671-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 EMPIRE BLVD",
            "address_2": "SUITE 3",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802182",
            "telephone_number": "585-671-0770",
            "fax_number": "585-671-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER PELLITTIERI DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLITTIERI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-671-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "022000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.