NPIMap

Organization Active NPI

Cass a. Radecki, D.D.S., P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Saline, MI
National Provider Identifier
1124414800
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
2901014771 Issued in MI
Legal business name
CASS A. RADECKI, D.D.S., P.C.
Practice address
203 W Michigan Ave
Saline, MI 48176-1329
Phone
(734) 429-1384
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Cass Anthony Radecki, D.D.S.NPI 1962405845
Title
Owner
Phone
(734) 429-1384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2901014771 MI Primary

Addresses

Primary practice location

203 W Michigan Ave
Saline, MI 48176-1329

Mailing address

203 W Michigan Ave
Saline, MI 48176-1329
Phone (734) 429-1384

National Provider Directory

National Provider Directory

Locations

203 W Michigan Ave
Saline, MI 48176
Phone (734) 429-1384

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1124414800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761329",
            "telephone_number": "734-429-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761329",
            "telephone_number": "734-429-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS A. RADECKI, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "RADECKI",
        "authorized_official_first_name": "CASS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-429-1384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901014771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.