John Charles Kerecz, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

32453 Issued in NY

Practice address

84 Clinton Ave
Dobbs Ferry, NY 10522

Phone

(914) 693-0014

Fax

(914) 693-0014

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

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

Enrolled in NY

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

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1689844995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CLINTON AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-693-0014",
            "fax_number": "914-693-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CLINTON AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "10522",
            "telephone_number": "914-693-0014",
            "fax_number": "914-693-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERECZ",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "32453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pond R Kelemen
• Dorothy Ann Kelly, SLP
• Nora Kelly
• Mark F Kenny, CPO
• Allison Kent, MS, CCC-SLP
• Susan Kerman, MD
• Dana Kiel
• Hong Kim
• Min Jung Kim, PHD, CCC-SLP
• Rachel Pauline Klein, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.