Thomas L. Kassube, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

M552 Issued in SD

Practice address

3805 S Kiwanis Cir
Sioux Falls, SD 57105-4266

Phone

(605) 335-8830

Fax

(605) 335-0947

NPI assigned

Nov 30, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson Periodontics, Prof. LLC

  • Periodontics
  • Sioux Falls, SD
  • NPI 1265949150
  NPD (past)
• Kassube & Lankford Midwest Periodontics, Prof. LLC

  dba Kassube and Lankford

  • Periodontics
  • Sioux Falls, SD
  • NPI 1275685299
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184792236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S VALLEY VIEW RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060537",
            "telephone_number": "605-335-8830",
            "fax_number": "605-335-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-335-8830",
            "fax_number": "605-335-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSUBE",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SD",
            "license": "M552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "M552",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashale Counseling Services LLC
• Gary Kashale, LPC
• Ramesh Kumar Kashyap, M.D
• Ruth A Kaspar, MSW, CSW-PIP
• Kassube & Lankford Midwest Periodontics, Prof. LLC (Kassube and Lankford)
• Justin T. Kastl, M.D.
• Peter P Kasznica, M.D.
• Kathryn Bates Counseling LLC
• Katie Reardon DDS, PC (General Dentistry)
• Joshua Austin Katz, CNP

• Periodontics in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Periodontics in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.