ERIN SHOPE (NPI# 1104145804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104145804 |
| Entity Type | Individual |
| Full Name | ERIN SHOPE |
| Credential | DMD |
| Practice Address |
625 Elmwood Ave Rochester NY 14620-2913 |
| Practice Telephone | 5852755051 |
| Mailing Telephone | 5852755051 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
056120-1 | NY | Dental Providers |
| Street Address |
625 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104853886 | Charles M. Oster | Dentist | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2006-06-27 |
| 1588273353 | Omar Said | Dentist | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-28 |
| 1215545785 | Mohammad Mahjoorighasrodashti | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-21 |
| 1467060384 | Barbara Sterniczuk | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-16 |
| 1285252460 | Brandon Hersh | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-14 |
| 1588272793 | Giuseppe Carvelli | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-14 |
| 1528683018 | Monica Amorim Da Silva Gusmini | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-06-10 |
| 1538783436 | Andrew Boshra | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-06-05 |
| 1396367207 | Aaron Masaru Miyamoto | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-05-13 |
| 1033731955 | Sukhmeet Singh Gujral | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| 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.