Jerger Pediatric Dentistry, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

021001772 Issued in IL

Legal business name

JERGER PEDIATRIC DENTISTRY, PC

Practice address

2101 N Main St
Decatur, IL 62526-4375

Phone

(217) 875-3080

Fax

(217) 875-3084

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bret M Jerger, DDSNPI 1245323302

Title

Owner

Phone

(217) 875-3080

Specialties & licenses 1

Addresses

Locations

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.

• Bret M Jerger, DDS

  • Pediatric Dentistry
  • Decatur, IL
  • NPI 1245323302
  NPD (past) Authorized official

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1952791006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264375",
            "telephone_number": "217-875-3080",
            "fax_number": "217-875-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264375",
            "telephone_number": "217-875-3080",
            "fax_number": "217-875-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERGER PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "JERGER",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-875-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney L Jeffery, CRNA
• Lawrence Jeisy, M.D.
• Mehrdad Jelodar, MD
• Chelsey M Jenkins, DNP, CRNA
• Leonard Ray Jenkins, CRAN
• Bret M Jerger, DDS
• Jesek & Willhite Family Dental Care Center (Jesek, Willhite & Griffin Family Dental Care Center)
• Warren F Jesek, DDS
• Mary B Jesse
• Sean Michael Jewell, PHARM. D

• Pediatric Dentistry in Decatur, IL
• Providers in Decatur, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.