John D. Cercek, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30012421 Issued in OH

Legal business name

JOHN D. CERCEK, D.D.S.

Practice address

3140 Dustin Road
Oregon, OH 43616

Phone

(419) 698-3782

Fax

(419) 698-9560

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By 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. John D. Cercek, D.D.S., M.S.NPI 1114975786

Title

Orthodontist

Phone

(419) 698-3782

Specialties & licenses 1

Addresses

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.

• John D. Cercek, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oregon, OH
  • NPI 1114975786
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972517712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 DUSTIN ROAD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-698-3782",
            "fax_number": "419-698-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DUSTIN ROAD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "43616",
            "telephone_number": "419-698-3782",
            "fax_number": "419-698-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. CERCEK, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CERCEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "419-698-3782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30012421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Optical Inc.
• Susan M Jaros, FNP-BC
• Reschelle L Jennings, MSW/CDCA
• Candace Jewell, CNP
• Phillip Jimenez
• John J. Evola, DDS, Inc.
• Angelika Johnson
• Lavonda Johnson
• Peter Carl Johnson, M.D.
• Rebecca Johnson, PHARMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon, OH
• Providers in Oregon, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.