Don E Secrest, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12964 Issued in OH

Practice address

712 Graham Rd
Cuyahoga Falls, OH 44221-1041

Phone

(330) 928-4422

Fax

(330) 940-4285

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Don E Secrest DDS Inc

  • General Practice Dentistry
  • Cuyahoga Falls, OH
  • NPI 1558376194
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396953287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211041",
            "telephone_number": "330-928-4422",
            "fax_number": "330-940-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211041",
            "telephone_number": "330-928-4422",
            "fax_number": "330-940-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECREST",
        "first_name": "DON",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "12964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "17945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Lauren Scott
• William F Scully III, M.D.
• Laura L Seaver, CNP
• Courtney Denise Sebastian
• Carli Zak Sebest, DO
• Hannah Nicole Segers
• Patricia Seifert, PH.D.
• Serenity Home Care LLC
• Jermaine Shadie
• Thomas M Shaheen, O.D.

• General Practice Dentistry in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• General Practice Dentistry in Ohio

• 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.