Michael D Cerveris DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5018698L Issued in PA

Legal business name

MICHAEL D CERVERIS DMD PC

Practice address

1854 Wayne Rd
Chambersburg, PA 17202-8836

Phone

(717) 263-0449

Fax

(717) 263-6870

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Cerveris, DMD

Title

Owner

Phone

(717) 263-0449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1376840207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 WAYNE RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028836",
            "telephone_number": "717-263-0449",
            "fax_number": "717-263-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 WAYNE RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028836",
            "telephone_number": "717-263-0449",
            "fax_number": "717-263-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D CERVERIS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "CERVERIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-263-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "D5018698L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.