Michael Francis Casey

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00004326 Issued in WA

Practice address

2712 N Chase Rd
Liberty Lake, WA 99019-8632

Phone

(509) 747-7134

NPI assigned

Apr 15, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mike F Casey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1053554329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190929",
            "telephone_number": "509-747-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 N CHASE RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990198632",
            "telephone_number": "509-747-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "CASEY",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sean Patrick Campbell
• Cathi Denee Cardon, OT
• Elizabeth Joy Carlson, BA
• Jazmayne Carter
• Casey Family Dental DDS, PS (Liberty Lake Smile Source)
• Timothy J Casey, DDS
• Christie Ann Ceballos, PA-C
• Svetlana Cervantes, MSW
• Christy Lynn Chamberlain
• Daniel S Chamberlain, DC

• General Practice Dentistry in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.