JONATHAN M SIPIOR (NPI# 1083107874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083107874 |
| Entity Type | Individual |
| Full Name | JONATHAN M SIPIOR |
| Credential | DDS |
| Practice Address |
1875 Hudson Ave Rochester NY 14617-5107 |
| Mailing Address |
114 Squire Hall Buffalo NY 14214-8006 |
| Practice Telephone | 5852669220 |
| Mailing Telephone | 7168293717 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
061170 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1875 HUDSON AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14617-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780728394 | Howard L Weiner | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2007-02-16 |
| 1548589708 | Ritu M. Shah | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2010-05-26 |
| 1386960524 | Kristin Adair | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2010-04-13 |
| 1922142579 | Brenner, Levy, Musiker & Weiner, LLP | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2007-02-16 |
| 1174667794 | Charles M Brenner | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2007-02-16 |
| 1396889937 | Malcolm M Musiker | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2007-02-16 |
| 1811031420 | David Levy | Dentist | 1875 Hudson Ave, Rochester, NY 14617-5107 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625148 | Taylor Barrett | Speech-Language Pathologist | 350 Cooper Road, Rochester, NY 14617 | 2019-12-04 |
| 1326517608 | Matthew Richard Vandermeid | Student in an Organized Health Care Education/Training Program | 161 Sethland Dr., Rochester, NY 14617 | 2018-11-16 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1043585599 | Shannon Nichole Fridd | Speech-Language Pathologist | 350 Cooper Rd., Rochester, NY 14617 | 2012-03-16 |
| 1861777112 | Todd M Schoen | Pharmacist | 525 Titus Avenue, Rochester, NY 14617 | 2011-10-19 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1215225602 | Alberto Ramon Cebollero | Psychologist | 402 Rogers Parkway, The Kessler Center, Rochester, NY 14617 | 2011-07-19 |
| 1487893269 | Stepping Stones Learning Center | Early Intervention Provider Agency | 2111 Hudson Ave, Rochester, NY 14617 | 2009-02-18 |
| Find all providers in zip 14617 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789639 | Small To Tall, Dentistry for Children, Pllc | Dentist | 3171 Chili Ave Ste 400, Rochester, NY 14624-5440 | 2018-11-13 |
| 1366829541 | Andrew B Winslow | Dentist | 625 Elmwood Ave., Rochester, NY 14620 | 2015-04-27 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1336427384 | Cynthia Laurel Wong | Dentist | 2400 South Clinton Avenue, Suite 125, Rochester, NY 14620 | 2011-07-25 |
| 1477843936 | Kelly A Jones | Dentist | 1705 Broadway Ave S Ste B, Rochester, MN 55904-7960 | 2011-04-18 |
| 1528267242 | Lindsey Keck | Dentist | 261 Averill Ave, Rochester, NY 14620-1301 | 2007-07-12 |
| 1114076619 | Dentistry for Children and Adolescents, Ltd. | Dentist | 2743 Superior Dr Nw, Rochester, MN 55901-1773 | 2007-01-10 |
| 1376646604 | David P. Durr | Dentist | 2061 Ridge Rd W, Rochester, NY 14626-2782 | 2006-09-05 |
| 1306948443 | Daniel H Glowinsky | Dentist | 3171 Chili Ave, Suite 400, Rochester, NY 14624 | 2006-09-01 |
| 1174638183 | Thomas C Burm Jr. | Dentist | 523 Beahan Rd, Rochester, NY 14624-3403 | 2006-08-20 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.