Organization Active NPI

Donald Yezerski DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Middleburg HTS, OH
National Provider Identifier
1659678936
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15839 Issued in OH
Legal business name
DONALD YEZERSKI DDS INC
Practice address
7379 Pearl Rd.
Suite 2
Middleburg HTS., OH 44130
Phone
(440) 234-1810
Fax
(440) 234-1997
NPI assigned
Feb 22, 2011
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Donald Yezerski, DDSNPI 1467522128
Title
President
Phone
(440) 234-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 15839 OH Primary

Addresses

Primary practice location

7379 Pearl Rd.
Suite 2
Middleburg HTS., OH 44130

Mailing address

18660 E, Bagley Rd.
Suite 401
Middleburg HTS., OH 44130
Phone (440) 234-1810

National Provider Directory

National Provider Directory

Locations

7379 Pearl Rd
Ste 2
Middleburg Heights, OH 44130
Phone (440) 234-1810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1659678936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 E, BAGLEY RD.",
            "address_2": "SUITE 401",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-234-1810",
            "fax_number": "440-234-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 PEARL RD.",
            "address_2": "SUITE 2",
            "city": "MIDDLEBURG HTS.",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-234-1810",
            "fax_number": "440-234-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD YEZERSKI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "YEZERSKI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-234-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "15839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.