John Mascaro D M D M D and Carl Choi D D S M D Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JOHN MASCARO D M D M D AND CARL CHOI D D S M D INC

Doing business as

Great Lakes Jaw and Implant Surgery Center

Practice address

4230 State Route 306 Ste 350
Willoughby, OH 44094-9213

Phone

(440) 946-2247

Fax

(440) 946-3530

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

John Mascaro, D M D M DNPI 1619989654

Title

President

Phone

(440) 946-2247

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Jaw and Implant Surgery Center Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Robert Mascaro, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Willoughby, OH
  • NPI 1619989654
  NPD (past) Authorized official
• William E Chepla, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Willoughby, OH
  • NPI 1942212980
  NPD (past)
• Carl Choi, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1073655791
  NPD (past)
• Michael Scott Scherer, D.D.S.,M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Naperville, IL
  • NPI 1003987645
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1689859589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 STATE ROUTE 306 STE 350",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949213",
            "telephone_number": "440-946-2247",
            "fax_number": "440-946-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 STATE ROUTE 306 STE 350",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949213",
            "telephone_number": "440-946-2247",
            "fax_number": "440-946-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MASCARO D M D M D AND CARL CHOI D D S M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "MASCARO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-946-2247",
        "authorized_official_credential": "D M D M D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Jaw and Implant Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique Jennings, QMHS
• Rebecca Jernejcic, LPN
• Joann Simone Jerson
• Neil Jesko
• Lyanette Zujey Jobson, LMT
• Heather Johnson-Davis
• Carissa D Johnson
• Erik Kjell Johnson, PA-C
• Jolie Johnson
• Rhonda Depree Johnson

• Oral and Maxillofacial Surgery (Dentist) in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.