Active NPI
Kelley Ann Casement, D.D.S.
- Dentist
- Denver, CO
National Provider Identifier
1083619035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8658
- Practice address
- 1355 S Colorado Blvd
Ste 320
Denver, CO 80222-3316 - Phone
- (303) 758-0866
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8658 | CO | Primary |
Addresses
Primary practice location
1355 S Colorado Blvd
Ste 320
Denver, CO 80222-3316
Mailing address
6601 W 129TH PL
Apt 206
Overland Park, KS 66209-3882
Phone (913) 322-0094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8658 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell L. Casement, DDS | Current | Accepting new patients |
Locations
1355 S Colorado Blvd
Ste 320
Denver, CO 80222
Phone (303) 758-0866
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.
-
- General Practice Dentistry
- Denver, CO
- NPI 1447576749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083619035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 W 129TH PL",
"address_2": "APT 206",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093882",
"telephone_number": "913-322-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 S COLORADO BLVD",
"address_2": "STE 320",
"city": "DENVER",
"state": "CO",
"postal_code": "802223316",
"telephone_number": "303-758-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEMENT",
"first_name": "KELLEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "8658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.