Jack Robert Silverman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-012968 Issued in OH

Practice address

8406 Mayfield Rd
Chesterland, OH 44026-2524

Phone

(440) 729-4412

Fax

(440) 729-8026

NPI assigned

Dec 6, 2006

Last updated

Apr 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1053470278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 MAYFIELD RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262524",
            "telephone_number": "440-729-4412",
            "fax_number": "440-729-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 MAYFIELD RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262524",
            "telephone_number": "440-729-4412",
            "fax_number": "440-729-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "JACK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-012968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Secoy, D.C.
• Loren Shapiro, PH.D.
• Cheryl Lynn Sharaba, R.N.
• Jazmine Lynn Sharp
• Timothy Shawn Shea
• Nicolette Silvestro, RRT
• Susan Sipos
• Benjamin Smith
• Melissa Smith
• Speech on the Spot, LLC

• General Practice Dentistry in Chesterland, OH
• Providers in Chesterland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.