Jason S Cerelli, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19419 Issued in TX

Practice address

25300 Borough Park Dr
Spring, TX 77380-3552

Phone

(281) 296-0052

Fax

(281) 296-0118

NPI assigned

Aug 20, 2006

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 TX

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 and National Provider Directory roles.

• Woodlands Elite Dental Partners, PLLC

  dba Woodlands Dental Partners

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring, TX
  • NPI 1407969009

  General Practice

  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508971334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26615 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801968",
            "telephone_number": "281-296-8600",
            "fax_number": "281-296-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25300 BOROUGH PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803552",
            "telephone_number": "281-296-0052",
            "fax_number": "281-296-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERELLI",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestial Glow Med Spa LLC (Vital Hearts Home Care)
• Celestine Alipui Van Lare MD PA
• Victoria Centeno, SLP-INTERN
• Central Clincial Diagnostics, LLC
• Centrum Medical Group, PLLC
• Rachel Marie Cewe, MS CCC/SLP
• CFR Group LLC (Redd's Progressive Therapy)
• Leena Chacko, MD
• Vishnu Challapalli, M.D.
• Janet Chaloux, RBT

• General Practice Dentistry in Spring, TX
• Providers in Spring, TX by specialty
• General Practice Dentistry in Texas

• 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.
• 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.