Gregory F. Ceraso, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

7729 Issued in IA

Practice address

4201 Westown Pkwy
Suite 118
West Des Moines, IA 50266-6720

Phone

(515) 223-1213

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1235303272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY",
            "address_2": "SUITE 118",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-223-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY",
            "address_2": "SUITE 118",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-223-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERASO",
        "first_name": "GREGORY",
        "middle_name": "F.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "7729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Iowa Pediatric Allergy & Pulmonology, PLLC
• Central Iowa Surgery, PLC
• Central Rehabilitation LTD
• Central States Medicine, PLLC (Central States Pain Clinic)
• Cep America - Anesthesia PC
• Whitney Ceretti, PA-C
• Chad B Stevenson DDS PC
• Adam Chadderdon
• Pamela B Chambers, PAC
• Vimala Varikottil Chandran, M.D.

• Dentist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.