NPIMap

Organization Active NPI

Ceravolo & Ceravolo, PA

  • Periodontics
  • Wellington, FL
National Provider Identifier
1336538289
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN10720 Issued in FL
Legal business name
CERAVOLO & CERAVOLO, PA
Practice address
1037 S State Road 7
Suite 217
Wellington, FL 33414-6138
Phone
(561) 790-5700
Fax
(561) 790-5701
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Joseph Ceravolo, DDSNPI 1013092170
Title
Owner
Phone
(561) 790-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN10720 FL Primary

Addresses

Primary practice location

1037 S State Road 7
Suite 217
Wellington, FL 33414-6138

Mailing address

1037 S State Road 7
Suite 217
Wellington, FL 33414-6138
Phone (561) 790-5700

National Provider Directory

National Provider Directory
Tax ID family
Ceravolo Ceravolo PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1336538289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7",
            "address_2": "SUITE 217",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146138",
            "telephone_number": "561-790-5700",
            "fax_number": "561-790-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7",
            "address_2": "SUITE 217",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146138",
            "telephone_number": "561-790-5700",
            "fax_number": "561-790-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERAVOLO & CERAVOLO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "CERAVOLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-790-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.