Organization Active NPI

Joseph Cecere D.M.D.,Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
National Provider Identifier
1881879070
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
14609 Issued in TX
Legal business name
JOSEPH CECERE D.M.D.,INC.
Practice address
2501 Ridgmar PLZ
Suite 108
Fort Worth, TX 76116-2689
Phone
(817) 731-8629
Fax
(817) 732-0563
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Joseph Cecere, DMD
Title
Oral and Maxillofacial Surgeon
Phone
(817) 731-8629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 14609 TX Primary

Addresses

Primary practice location

2501 Ridgmar PLZ
Suite 108
Fort Worth, TX 76116-2689

Mailing address

2501 Ridgmar PLZ
Suite 108
Fort Worth, TX 76116-2689
Phone (817) 731-8629

National Provider Directory

National Provider Directory

Locations

2501 Ridgmar Plz
Ste 108
Ft Worth, TX 76116
Phone (817) 731-8629

912 S Elm St
Weatherford, TX 76086
Phone (817) 596-8172

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1881879070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RIDGMAR PLZ",
            "address_2": "SUITE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162689",
            "telephone_number": "817-731-8629",
            "fax_number": "817-732-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RIDGMAR PLZ",
            "address_2": "SUITE 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162689",
            "telephone_number": "817-731-8629",
            "fax_number": "817-732-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CECERE D.M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "CECERE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "817-731-8629",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "14609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.