JOHN D. CERCEK, D.D.S. (NPI# 1972517712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972517712 |
| Entity Type | Organization |
| Organization Name | JOHN D. CERCEK, D.D.S. |
| Practice Address |
3140 Dustin Road Oregon OH 43616 |
| Practice Telephone | 4196983782 |
| Practice Fax Number | 4196989560 |
| Mailing Telephone | 4196983782 |
| Mailing Fax Number | 4196989560 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN D. CERCEK (ORTHODONTIST) |
| Authorized Official Telephone | 4196983782 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30012421 | OH | Dental Providers |
| Street Address |
3140 DUSTIN ROAD |
| City | OREGON |
| State | OH |
| Zip Code | 43616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372621 | Christian Andreas Witek | Dentist | 600 Pleasant Oak Dr, Suite C, Oregon, WI 53575-3648 | 2005-08-02 |
| 1114975786 | John D. Cercek | Dentist | 3140 Dustin Rd, Oregon, OH 43616-4341 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1679103865 | Gid Orthodontics LLC | Dentist | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, OH 45044-8898 | 2020-01-16 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
| 1972060408 | Blue Jackets Braces | Dentist | 1175 Columbus Pike, Delaware, OH 43015-2713 | 2019-02-20 |
| 1609348283 | Shirck Orthodontics | Dentist | 68 N High St Bldg D, New Albany, OH 43054-8091 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
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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.