Active NPI
Pittsford Pediatric Dentistry PLLC
- Dental Clinic/Center
- Pittsford, NY
National Provider Identifier
1992236806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 036119
- Legal business name
- PITTSFORD PEDIATRIC DENTISTRY PLLC
- Practice address
- 90 Office Pkwy
Pittsford, NY 14534-1749 - Phone
- (585) 383-0640
- Fax
- (585) 383-1463
- NPI assigned
- Mar 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Doron Kochman, DDS
- Title
- Dentist/Owner
- Phone
- (585) 383-0640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 036119 | NY | Primary |
Addresses
Primary practice location
90 Office Pkwy
Pittsford, NY 14534-1749
Mailing address
90 Office Pkwy
Pittsford, NY 14534-1749
Phone (585) 383-0640
Other names 1
- Pittsford Pediatric Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1992236806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 OFFICE PKWY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341749",
"telephone_number": "585-383-0640",
"fax_number": "585-383-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 OFFICE PKWY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341749",
"telephone_number": "585-383-0640",
"fax_number": "585-383-1463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTSFORD PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "KOCHMAN",
"authorized_official_first_name": "DORON",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "585-383-0640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "036119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pittsford Pediatric Dentistry",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pittsford, NY
- Pittsford Central School District
- Pittsford Dermatology, PLLC
- Pittsford Family Dental Practice P.C.
- Pittsford Family Medicine PLLC
- Pittsford Internal Medicine, LLC
- Pittsford Pediatrics Associates
- Pittsford Smiles Dental, PC
- Pittsford Speech Language Therapy
- Pittsford Therapy, LCSW, PLLC
- Pittsford Volunteer Ambulance Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.