Individual provider Active NPI

Casey Alexander McLachlan, DDS

  • Dentist
  • Fargo, ND
National Provider Identifier
1124513668
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2347 Issued in ND
Practice address
1383 21St Ave N Ste B
Fargo, ND 58102-1841
Phone
(701) 237-3517
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2347 ND Primary

Addresses

Primary practice location

1383 21St Ave N Ste B
Fargo, ND 58102-1841

Mailing address

2908 Peterson Pkwy N
Fargo, ND 58102-1751
Phone (701) 388-1333

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
2347NDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandman Family Dentistry, LTD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1124513668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 PETERSON PKWY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021751",
            "telephone_number": "701-388-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 21ST AVE N STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021841",
            "telephone_number": "701-237-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLACHLAN",
        "first_name": "CASEY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.