John Frank Cercek Jr., DMD MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S4 03 Issued in NV

Practice address

805 West 7TH Street
#202
Reno, NV 89503-2795

Phone

(775) 322-5122

Fax

(775) 322-7038

NPI assigned

May 4, 2007

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

Other names 1

• John F Cercek Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568674109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 WEST 7TH STREET",
            "address_2": "#202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032795",
            "telephone_number": "775-322-5122",
            "fax_number": "775-322-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WEST 7TH STREET",
            "address_2": "#202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032795",
            "telephone_number": "775-322-5122",
            "fax_number": "775-322-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERCEK",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_suffix": "Jr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4 03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CERCEK",
            "middle_name": "F",
            "suffix": "JR.",
            "credential": "DMD MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Cep America - Anesthesia PC
• Cep America - Anesthesia PC
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• John Eric Cercek, D.M.D. M.S.D.
• Megan Michelle Cercek, DMD
• Cerecare Clinics LLC (Brain Health Restoration Center)
• Cassandra Ceremuga, DO
• Bryanne Cerfoglio
• Brandy Ceril, PHARMD

• Periodontics in Reno, NV
• Providers in Reno, NV by specialty
• Periodontics in Nevada

• 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.