Individual provider Active NPI

Julie Diane Cassaidy, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ames, IA
National Provider Identifier
1114047867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7768 Issued in IA
Practice address
707 5TH St
Suite 102
Ames, IA 50010-5979
Phone
(515) 232-2152
Fax
(515) 232-2153
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7768 IA Primary

Addresses

Primary practice location

707 5TH St
Suite 102
Ames, IA 50010-5979

Mailing address

3200 Kingman Rd
Ames, IA 50014-3941
Phone (515) 292-5762

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7768IAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Cassaidy and Wass, L.L.P. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Kim J. Wass, D.D.S., M.S., P.C. Orthodontics and Dentofacial Orthopedics Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114047867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 KINGMAN RD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143941",
            "telephone_number": "515-292-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 5TH ST",
            "address_2": "SUITE 102",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105979",
            "telephone_number": "515-232-2152",
            "fax_number": "515-232-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSAIDY",
        "first_name": "JULIE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "7768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.