MITCHEL COSTA D.D.S.
NPI 1245617448
Dentist - General Practice in Fairport, NY

Active since April 27, 2015
2828 BAIRD RD, FAIRPORT, NY 14450(585) 383-0840(585) 383-0881 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, Aug 15, 2023 (2 updates tracked since 2023).

About Mitchel Costa D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHEL COSTA D.D.S. (NPI 1245617448) is an individual general practice provider in Fairport, New York, licensed in New York (060558) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1245617448
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMITCHEL COSTACredential: D.D.S.
Location Address2828 BAIRD RDFairport, NY 14450-1247
Mailing Address2828 Baird RdFairport, NY 14450-1247 · (585) 383-0840 · Fax (585) 383-0881
Fax(585) 383-0881
Sole ProprietorNo
Enumeration DateApril 27, 2015
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1245617448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 060558
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2828 BAIRD RD, Fairport, NY 14450

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2828 BAIRD RD
FAIRPORT, NY 14450
Internal Medicine
2828 BAIRD RD
FAIRPORT, NY 14450
Durable Medical Equipment & Medical Supplies
2828 BAIRD RD
FAIRPORT, NY 14450
Dentist (General Practice)
2828 BAIRD RD
FAIRPORT, NY 14450
Internal Medicine
2828 BAIRD RD
FAIRPORT, NY 14450
Pediatrics
2828 BAIRD RD, SUITE C
FAIRPORT, NY 14450
Podiatrist
2828 BAIRD RD, SUITE B
FAIRPORT, NY 14450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchel Costa's NPI number?

The NPI number for Mitchel Costa is 1245617448. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Mitchel Costa located?

Mitchel Costa practices at 2828 Baird Rd, Fairport, NY 14450. The listed phone number is (585) 383-0840.

What is Mitchel Costa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mitchel Costa accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mitchel Costa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchel Costa was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.