Larry I Kassel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012812 Issued in MI

Practice address

1040 S Linden Rd
Flint, MI 48532-3405

Phone

(810) 733-8202

Fax

(810) 230-2523

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Larry I. Kassel, DDS, PC

  • General Practice Dentistry
  • Flint, MI
  • NPI 1073725404
  NPD (past) Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124222864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323405",
            "telephone_number": "810-733-8202",
            "fax_number": "810-230-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323405",
            "telephone_number": "810-733-8202",
            "fax_number": "810-230-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSEL",
        "first_name": "LARRY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayanthi Karthikeyan, MD
• Criscia Nicole Kasem, LLP
• Jerome Fitzgerald Kasle, M.D.
• Rachael A Kasperowicz, MD
• Maureen Maria Kaspetrus
• Kamal Mohamed-Ayed Kassem, MD
• Khalil A. Katato, M.D.
• Joshua Aaron Katchka
• Jitendra P Katneni, MD
• Mohammad Ali Katout, MD

• General Practice Dentistry in Flint, MI
• Providers in Flint, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.