Ervin Charles Cerveny I, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9169 Issued in FL

Practice address

3610 16TH Ave N
St Petersburg, FL 33713-5342

Phone

(727) 421-9800

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1114931920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 16TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135342",
            "telephone_number": "727-421-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 16TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135342",
            "telephone_number": "727-421-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVENY",
        "first_name": "ERVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070974300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Cerio
• Kaleigh Rae Cernosek
• Certified Care Sources Inc
• Certus Strategies LLC
• Julio Mario Cervantes, DMD
• Jeff Cervero, RD, LDN, CSCS
• Frances Marie Chaar-Alvarez, M.D.
• Ariane Chabanne
• Melanie Andrea Chacon, APRN
• Michael Chadwell

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.