DR. JONATHAN REDDITT (NPI# 1467835777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467835777 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN REDDITT |
| Credential | D.M.D |
| Practice Address |
1455 E Ridge Rd Rochester NY 14621-2006 |
| Practice Telephone | 5859224103 |
| Practice Fax Number | 5859224495 |
| Mailing Telephone | 5859224103 |
| Mailing Fax Number | 5859224495 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
060970 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1425 Portland Ave, Rochester, NY 146213011 | 5859224103 | 5859224495 |
| 2060 Fairport Nine Mile Point Rd, Penfield, NY 145261749 | 5853775810 | 5853771121 |
| Street Address |
1455 E RIDGE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366477218 | Elizabeth Tellier | Physician Assistant | 1455 E Ridge Rd, Rochester, NY 14621 | 2006-07-11 |
| 1639707763 | Marissa Stein | Student in an Organized Health Care Education/Training Program | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-04-01 |
| 1114555281 | Kathleen Andrews | Student in an Organized Health Care Education/Training Program | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-04-01 |
| 1831727908 | Joseph Ciciarelli | Student in an Organized Health Care Education/Training Program | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-04-01 |
| 1346878816 | Laura Gennaro | Student in an Organized Health Care Education/Training Program | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-03-31 |
| 1538797980 | Jessica Lynne Hillman | Student in an Organized Health Care Education/Training Program | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-03-31 |
| 1588298566 | Katrina Lynn Simmonds | Counselor | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-02-27 |
| 1457991796 | Sarah Remizowski | Social Worker | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2020-01-15 |
| 1578112298 | Andrea Estes | Nurse Practitioner | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2019-09-05 |
| 1619525136 | Julia Vazquez | Social Worker | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477991677 | Pooja Gangwani | Dentist | 2400 S Clinton Ave Ste 125, Rochester, NY 14618-2668 | 2013-06-10 |
| 1003137381 | Marc G. Johnson | Dentist | 150 Lynnwood Dr, Rochester, NY 14618-2826 | 2010-06-21 |
| 1427217199 | John S. Vorrasi | Dentist | 2400 S Clinton Ave Bldg H Suite 125, Rochester, NY 14618 | 2008-06-06 |
| 1992842793 | Antonia Kolokythas | Dentist | 601 Elmwood Ave Box 705, Rochester, NY 14642-0001 | 2007-01-31 |
| 1619022449 | Jolly M Caplash | Dentist | 10 Hagen Dr Ste 230, Rochester, NY 14625-2659 | 2007-01-24 |
| 1649215328 | Joel C Michelson | Dentist | 3632 10th Ln Nw, Rochester, MN 55901-6917 | 2006-06-18 |
| 1083681928 | Nicholas H. Psimos | Dentist | 1101 N Broadway, Rochester, MN 55906-6841 | 2006-02-28 |
| 1962482562 | Michael Kim Ban | Dentist | 450 Adams St, Rochester, PA 15074-1911 | 2006-01-19 |
| 1992794218 | Lee Cain Chewning | Dentist | 191 S Park St, Rochester, PA 15074-2217 | 2005-10-19 |
| 1033731815 | Shayla Camille Steeds | Dentist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-05-14 |
| 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.