William F Jerome, D.D.S, M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901008585 Issued in MI

Practice address

9448 Stonebrook
Charlevoix, MI 49720-2081

Phone

(231) 547-5470

NPI assigned

Apr 16, 2008

Last updated

Mar 7, 2023By the provider in NPPES

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 identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monarch Family Chiropractic LLC

  dba Monarch Family Chiropractic

  • Clinic/Center
  • East Jordan, MI
  • NPI 1831663475
  NPD (past)
• Northern Michigan Oral and Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Petoskey, MI
  • NPI 1154483014
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689848004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448 STONEBROOK",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202081",
            "telephone_number": "231-547-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9448 STONEBROOK",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497202081",
            "telephone_number": "231-547-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901008585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "J085850",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALTY CERTIFICATION",
            "identifier": "2901008585",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY LICENSE",
            "identifier": "2901008585",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LIC",
            "identifier": "2901008585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Ivanov, RDH, BS
• Mary A Ivey, M.D.
• James a Gels MD PC
• James Jeakle, M.D.
• Molly A Jeakle, DPT
• Michael Johnson, CRNA
• Samantha Johnstone
• Tayler Hope Jones, PHARMD
• Dennis M Joy, M.D.
• Elizabeth Ann Kaelson, DDS

• Oral and Maxillofacial Surgery (Dentist) in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.