Organization Active NPI

Pittsford Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Pittsford, NY
National Provider Identifier
1992236806
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
036119 Issued in NY
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

Updated by the provider on Mar 22, 2017

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.