Active NPI
Cassandra Hoang
- General Practice Dentistry
- Cheyenne, WY
National Provider Identifier
1033744172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1582
- Practice address
- 1716 Warren Ave
Cheyenne, WY 82001-4538 - Phone
- (307) 632-0565
- NPI assigned
- Mar 9, 2020
- Last updated
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 1582 | WY | Primary |
Addresses
Primary practice location
1716 Warren Ave
Cheyenne, WY 82001-4538
Mailing address
1716 Warren Ave
Cheyenne, WY 82001-4538
Phone (307) 632-0565
Other practice location 1
5835 E Still Cir
Mesa, AZ 85206-3618
Phone (307) 630-4776
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 |
|---|---|---|---|
| 1582 | WY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tatiana K Steele | General Practice | Current | Accepting new patients |
Locations
1716 Warren Ave
Cheyenne, WY 82001
Phone (307) 632-0565
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1033744172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 WARREN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014538",
"telephone_number": "307-632-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 WARREN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014538",
"telephone_number": "307-632-0565"
}
],
"practiceLocations": [
{
"address_1": "5835 E Still Cir",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852063618",
"country_code": "US",
"telephone_number": "307-630-4776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "CASSANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2021-08-30",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.