Individual provider Active NPI

Yazan Kasey, DDS

  • General Practice Dentistry
  • Norwalk, CA
National Provider Identifier
1184994550
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60755 Issued in CA
Practice address
14119 Pioneer Blvd
Norwalk, CA 90650-3925
Phone
(562) 219-2954
NPI assigned
Jan 3, 2012
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60755 CA Primary

Addresses

Primary practice location

14119 Pioneer Blvd
Norwalk, CA 90650-3925

Mailing address

14119 Pioneer Blvd
Norwalk, CA 90650-3925
Phone (562) 219-2954

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160108002471 CA Order and Referring Only - DentistPractitioner - Dentist 9234431131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1184994550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 PIONEER BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503925",
            "telephone_number": "562-219-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 PIONEER BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503925",
            "telephone_number": "562-219-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEY",
        "first_name": "YAZAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.