Meena A Kasisa, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010885 Issued in AZ

Practice address

41620 W Maricopa Casa Grande Hwy Ste 110
Maricopa, AZ 85138-3217

Phone

(520) 568-2800

NPI assigned

Nov 8, 2020

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 CA

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.

• Maricopa Smiles Dentistry and Orthodontics, LLP

  • Dentist
  • Irvine, CA
  • NPI 1619212651
  NPD (past)

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1124629829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19778 E CARRIAGE WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428670",
            "telephone_number": "480-227-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41620 W MARICOPA CASA GRANDE HWY STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383217",
            "telephone_number": "520-568-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASISA",
        "first_name": "MEENA",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyeasa Renae Jones, PMHNP-BC
• Olajumoke Omolola Jongbo, PMHNP
• Taylor L Jump, DPT
• Megan Eileen Kahler, LPN
• Karen Kramarczyk DDS Family Dentistry of Maricopa
• Ronny Kassees
• Matthew Alan Kaul, PTA
• Monique S Kaur-Dale, BSN, RN
• Mawa Keita
• Jonathan Andrew Keller, D.M.D.

• Dentist in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.