John F. Ceraso, DMD, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7562 Issued in NC

Legal business name

JOHN F. CERASO, DMD, P.A.

Practice address

125 Murray Hill Rd
Suite a
Southern Pines, NC 28387-6354

Phone

(910) 692-5250

Fax

(910) 693-8072

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John F Ceraso, DMDNPI 1104909431

Title

Dr.

Phone

(910) 692-5250

Specialties & licenses 2

Addresses

Other names 1

• Carolina Center for Cosmetic Dentistry Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John F. Ceraso, DMD

  • General Practice Dentistry
  • Southern Pines, NC
  • NPI 1104909431
  NPD (past) Authorized official
• Sara Yousuf Moghul, DMD

  • Dentist
  • Southern Pines, NC
  • NPI 1568089597
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184707200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MURRAY HILL RD",
            "address_2": "SUITE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876354",
            "telephone_number": "910-692-5250",
            "fax_number": "910-693-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MURRAY HILL RD",
            "address_2": "SUITE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876354",
            "telephone_number": "910-692-5250",
            "fax_number": "910-693-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. CERASO, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CERASO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "910-692-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027256L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Center for Cosmetic Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fredena Lucas Jaggers, CRNA
• Thomas Scott Jamison, MD
• Jeffrey S. Almony, MD, DDS, PA (Southern Pines Oral & Maxillofacial Surgery Center)
• Jody McCain, PSYD PLLC
• Lindsay Johannes-Monroe, PH.D.
• Camryn Johnson
• Kenneth M Johnson III, MD
• Shelby Johnson, PA-C
• Rebecca Jolls
• Brianna Jones

• General Practice Dentistry in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.