Jacob Cassaro, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019033930 Issued in IL

Practice address

8100 Forest Hills Rd
Loves Park, IL 61111-2709

Phone

(815) 494-4195

NPI assigned

Aug 8, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1184352247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 W ROCKTON RD",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610721308",
            "telephone_number": "815-494-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 FOREST HILLS RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611112709",
            "telephone_number": "815-494-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSARO",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn M Carguillo, PHARMD
• Katherine I Carlson, PA-C
• Linda Anne Carlson, RPH
• Kelly N. Carroll, CRNA
• Renee Carter
• Margot Elisabeth Castillo
• Alexander Chaikin, MD
• Christopher Scott Chalk, DC
• Madelyn Gail Chapman, MSN, RN, LMT
• Nandini Chattopadhyay, MD

• Dentist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.