Vincent Anthony Cesario Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40430 Issued in NY

Practice address

28800 State Route 3
Black River, NY 13612-2140

Phone

(315) 773-4204

Fax

(315) 773-3126

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Black River Dental PLLC

  • General Practice Dentistry
  • Black River, NY
  • NPI 1073480612
  NPD (past)
• Vincent a. Cesario DMD LLC

  • Dentist
  • Black River, NY
  • NPI 1215264841
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992725378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "address_2": "28800 NYS RT 3",
            "city": "BLACK RIVER",
            "state": "NY",
            "postal_code": "136120820",
            "telephone_number": "315-773-4204",
            "fax_number": "315-773-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 STATE ROUTE 3",
            "city": "BLACK RIVER",
            "state": "NY",
            "postal_code": "136122140",
            "telephone_number": "315-773-4204",
            "fax_number": "315-773-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESARIO",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "40430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black River Ambulance Squad, Inc
• Black River Dental PLLC
• Robert Paul Edgar, LPN
• April Eldridge
• Elizabeth Leigh Elmer, MS
• Melissa Farman
• Ashlie Hall

• General Practice Dentistry in Black River, NY
• Providers in Black River, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.