Individual provider Active NPI

Casimir John Majcher, DDS

  • Dentist
  • Berea, OH
National Provider Identifier
1295725968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30013706 Issued in OH
Practice address
387 Front St
Berea, OH 44017-1715
Phone
(440) 234-9063
Fax
(440) 234-5667
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30013706 OH Primary
Dentist 122300000X DN5441 FL
Dentist 122300000X 27095 CA

Addresses

Primary practice location

387 Front St
Berea, OH 44017-1715

Mailing address

387 Front St
Berea, OH 44017-1715
Phone (440) 234-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27095CAMDClinical Social Worker
DN5441FLMDDentist
30013706OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295725968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171715",
            "telephone_number": "440-234-9063",
            "fax_number": "440-234-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171715",
            "telephone_number": "440-234-9063",
            "fax_number": "440-234-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJCHER",
        "first_name": "CASIMIR",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30013706",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN5441",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.