Individual provider Active NPI

John Cascio, DDS

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1013132588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12008967A Issued in IN
Practice address
11135 Pendleton Pike
Suite 900
Indianapolis, IN 46236-2873
Phone
(317) 826-3441
Fax
(317) 826-0213
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12008967A IN Primary

Addresses

Primary practice location

11135 Pendleton Pike
Suite 900
Indianapolis, IN 46236-2873

Mailing address

11135 Pendleton Pike
Suite 900
Indianapolis, IN 46236-2873
Phone (317) 826-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511001843 IN Order and Referring Only - DentistPractitioner - Dentist 5395034524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008967AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Dental Care of Indiana, PC Past Accepting new patients

Networks

  • KY PPO C-SNP
  • IL HMO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013132588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 PENDLETON PIKE",
            "address_2": "SUITE 900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362873",
            "telephone_number": "317-826-3441",
            "fax_number": "317-826-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 PENDLETON PIKE",
            "address_2": "SUITE 900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362873",
            "telephone_number": "317-826-3441",
            "fax_number": "317-826-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCIO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008967A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.