Rochester Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ROCHESTER PEDIATRIC DENTISTRY PLLC

Practice address

145 Sullys TRL Ste 1
Pittsford, NY 14534-4561

Phone

(585) 381-2190

Fax

(585) 381-2198

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Erica Dimarco, DDSNPI 1811382823

Title

Pediatric Dentist

Phone

(585) 381-2190

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Erica Dimarco, DDS

  • Pediatric Dentistry
  • Pittsford, NY
  • NPI 1811382823
  NPD Authorized official
• Tyger Foster, D.D.S.

  • Pediatric Dentistry
  • Pittsford, NY
  • NPI 1164515557
  NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1972271005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SULLYS TRL STE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344561",
            "telephone_number": "585-381-2190",
            "fax_number": "585-381-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SULLYS TRL STE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344561",
            "telephone_number": "585-381-2190",
            "fax_number": "585-381-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "585-381-2190",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04805038",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02635096",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony L Ricci, DDS
• Angela Richeson, LCSW
• Robert E. Horn, M.D., P.C.
• William Herbert Robischon
• Robyn a Graber, DC, PC
• Rochester Physicians, PLLC
• Rochester Psychiatric Associates
• Rochester Spine & Sports Chiropractic, PLLC
• Anne Christine Rodic, LMHC
• Mary J Rodman, PA

• Pediatric Dentistry in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.