Casi Jo McLeod, DMD – General Practice Dentistry

Key facts

NPI: 1023747185
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: D1360 (SD)
Practice address: 103 E Bennett Ave
Martin, SD 57551-2203
Phone: (605) 685-1046
NPI assigned: Jun 6, 2022
Sex: Female
Sole proprietor: Yes

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.

Casi McLeod, P.C. Dental Clinic/Center · Broken Bow, NE · NPI 1881492346

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
D1360	SD	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Casi McLeod, P.C.		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	D1360	SD	Yes

Addresses

Primary practice location

103 E Bennett Ave
Martin, SD 57551-2203

Mailing address

103 E Bennett Ave
Martin, SD 57551-2203
Phone (605) 685-1046

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	csutherland@horizonhealthcare.org	Direct

Other providers in Martin, SD

All providers in Martin, SD · General Practice Dentistry in South Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.