Active NPI
John Marshall Casper, DMD
- General Practice Dentistry
- Anna, IL
National Provider Identifier
1003023383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 01915800
- Practice address
- 205 N Main St
Anna, IL 62906-0489 - Phone
- (618) 833-2314
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 01915800 | IL | Primary |
Addresses
Primary practice location
205 N Main St
Anna, IL 62906-0489
Mailing address
PO Box 489
205 N Main St
Anna, IL 62906-0489
Phone (618) 833-2314
Other names 1
- Dr. John M Casper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01915800 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003023383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"address_2": "205 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629060489",
"telephone_number": "618-833-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629060489",
"telephone_number": "618-833-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPER",
"first_name": "JOHN",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "01915800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "CASPER",
"middle_name": "M",
"prefix": "DR.",
"credential": "DMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Anna, IL
Sources for this page
- 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.