Jessica Di Cerbo, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

G1-0001296 Issued in DE

Practice address

18947 John J Williams Hwy
Suite 309
Rehoboth Beach, DE 19971

Phone

(302) 644-4460

Fax

(302) 644-4470

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Jessica Shane Di Cerbo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jdicerbo21782@beebehealth.direct-ci.com

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.

• Coastal Kids Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Rehoboth Beach, DE
  • NPI 1821433145
  NPD (past) Authorized official
• Dicerbo & Irving LLC

  dba Coastal Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Seaford, DE
  • NPI 1083548580
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1528258779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 309",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714477",
            "telephone_number": "302-644-4460",
            "fax_number": "302-644-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "SUITE 309",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "19971",
            "telephone_number": "302-644-4460",
            "fax_number": "302-644-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Fallon Ave",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199731597",
            "country_code": "US",
            "telephone_number": "302-644-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI CERBO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0001296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821433145",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "1821433145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DI CERBO",
            "middle_name": "SHANE",
            "prefix": "DR.",
            "credential": "D.M. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatric Dentistry in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pediatric Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.