Organization Active NPI

Victor Family Dentistry, PLLC

  • General Practice Dentistry
  • Victor, NY
National Provider Identifier
1962759555
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0453821 Issued in NY
Legal business name
VICTOR FAMILY DENTISTRY, PLLC
Practice address
277 W Main St
Victor, NY 14564-1123
Phone
(585) 924-3240
Fax
(585) 924-7768
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Jeffrey B LowenguthNPI 1356432322
Title
Owner
Phone
(585) 924-3240

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0453821 NY Primary

Addresses

Primary practice location

277 W Main St
Victor, NY 14564-1123

Mailing address

277 W Main St
Victor, NY 14564-1123
Phone (585) 924-3240

Other identifiers 1

IdentifierTypeStateIssuer
1538243548OtherNYNPI INDIVIDUAL PROVIDER NUMBER FOR JEFFREY LOWENGUTH

National Provider Directory

National Provider Directory

Locations

277 W Main St
Victor, NY 14564
Phone (585) 924-3240

Practitioners & affiliated clinicians

Practitioners 1

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": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1962759555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641123",
            "telephone_number": "585-924-3240",
            "fax_number": "585-924-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641123",
            "telephone_number": "585-924-3240",
            "fax_number": "585-924-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "LOWENGUTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-924-3240",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0453821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER NUMBER FOR JEFFREY LOWENGUTH",
            "identifier": "1538243548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.