Individual provider Active NPI

Scott Edward Kasden, M.D.

  • Plastic Surgery Physician
  • Southlake, TX
National Provider Identifier
1013993203
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
J3827 Issued in TX
Practice address
2813 W Southlake Blvd Suite 130
Suite 130
Southlake, TX 76092-6829
Phone
(817) 416-9980
Fax
(817) 337-7379
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X J3827 TX Primary

Addresses

Primary practice location

2813 W Southlake Blvd Suite 130
Suite 130
Southlake, TX 76092-6829

Mailing address

2813 W Southlake Blvd. Ste 130
Suite130
Southlake, TX 76092-6829
Phone (817) 416-9980

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J3827TXMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: skasden@direct.uspi.com

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1013993203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 W SOUTHLAKE BLVD. STE 130",
            "address_2": "SUITE130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926829",
            "telephone_number": "817-416-9980",
            "fax_number": "817-337-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 W SOUTHLAKE BLVD SUITE 130",
            "address_2": "SUITE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926829",
            "telephone_number": "817-416-9980",
            "fax_number": "817-337-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASDEN",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "J3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.