David Frank Maceroni, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022620 Issued in MI

Practice address

1936 S Summerton Rd
Mount Pleasant, MI 48858-1109

Phone

(989) 773-9051

NPI assigned

May 29, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bryan Dental Smiles Group PLLC

  • Dentist
  • Mount Pleasant, MI
  • NPI 1154810059
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1225529035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36624 KENNETH CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123156",
            "telephone_number": "586-703-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 S SUMMERTON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581109",
            "telephone_number": "989-773-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACERONI",
        "first_name": "DAVID",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Lutes-Pulley
• Jenelle Lynch, LLMSW
• Kathryn Chirstine Lynch
• Paige H Lynch
• Isabel Lyshol
• Cindy Mae Mackenzie, BSW, LBSW, QMHP
• Madison Lorraine Mackenzie
• John Mackovjak, M.D.
• Marsha Ann Macniell, LMSW,CSW
• Mandy Madagame

• General Practice Dentistry in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.