Individual provider Active NPI

Casey Rogers Kariya, DDS

  • Dentist
  • Bucyrus, OH
National Provider Identifier
1073135737
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.026112 Issued in OH
Practice address
231 S Sandusky Ave
Bucyrus, OH 44820-2222
Phone
(419) 562-0981
NPI assigned
May 15, 2020
Last updated
May 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026112 OH Primary

Addresses

Primary practice location

231 S Sandusky Ave
Bucyrus, OH 44820-2222

Mailing address

1232 Langland Dr
Columbus, OH 43220-2649

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

LicenseStateTypeSpecialty
30.026112OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Francis D. Henize, Jr., D. D. S. PastSince May 17, 2020 Accepting new patients
Bradley L McCormack DDS Pure LLC PastSince May 17, 2020 Accepting new patients

Organizations & group practices 2

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1073135737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 LANGLAND DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202222",
            "telephone_number": "419-562-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIYA",
        "first_name": "CASEY",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.