Kevin J Kasick

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-023050 Issued in OH

Practice address

795 N Lexington Springmill Rd
Ontario, OH 44906-1114

Phone

(419) 522-1386

Fax

(419) 775-1119

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

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 OH

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

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1164651295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 N LEXINGTON SPRINGMILL RD",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061114",
            "telephone_number": "419-522-1386",
            "fax_number": "419-775-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASICK",
        "first_name": "KEVIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jefferson
• Tamea Jobe
• Christine Louise Johnson
• Courtney Jean Kalman, MA, CCC-SLP
• Caitria Karna
• Lauren Rachel Kauffman, PA-C
• Gurpinderjeet Kaur, O.D.
• Aerial Denise Keys, LSW
• Lisa M Kibler
• Latonya King

• General Practice Dentistry in Ontario, OH
• Providers in Ontario, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.