Jacqueline Macy Cerar DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

21029 Issued in OH

Legal business name

JACQUELINE MACY CERAR DDS INC.

Doing business as

Macy Family Dentistry

Practice address

9485 Mentor Ave
Suite 112
Mentor, OH 44060-4597

Phone

(440) 255-8133

Fax

(440) 867-3310

NPI assigned

Sep 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacqueline Macy Cerar, DDS

Title

President

Phone

(440) 255-8133

Specialties & licenses 1

Addresses

Other names 1

• Macy Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Hickman

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1841574258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1043612393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE",
            "address_2": "SUITE 112",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604597",
            "telephone_number": "440-255-8133",
            "fax_number": "440-867-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE",
            "address_2": "SUITE 112",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604597",
            "telephone_number": "440-255-8133",
            "fax_number": "440-867-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE MACY CERAR DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "CERAR",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-255-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macy Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elissa Jackson, LPN
• Meghan E Jackson, DPT
• Shayna Jackson
• Suterra Jackson, CPT
• Heather Hulali Jacob, FNP-C
• Jennifer Lee Jakosh, QMHS
• James H Silverblatt MD Inc.
• Melissa James
• Janet M. Blanchard, M.D. LTD.
• Nicole Joan Janusz, CMS, QMHS

• Dentist in Mentor, OH
• Providers in Mentor, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.