Active NPI
Donald Joseph Case, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Stamford, CT
National Provider Identifier
1194894097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4974
- Practice address
- 27 Bridge Street
Stamford, CT 06905 - Phone
- (203) 325-2661
- Fax
- (203) 323-5611
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4974 | CT | Primary |
Addresses
Primary practice location
27 Bridge Street
Stamford, CT 06905
Mailing address
236 Dundee Road
Stamford, CT 06903
Phone (203) 322-3651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 2, 2019 through May 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4974 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Oral & Maxillofacial Surgery Assoc PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Community Health Center Inc | Past | Accepting new patients | |
| Stamford Oral and Maxillofacial Surgical Arts LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Stamford, CT
- NPI 1063609105
Oral and Maxillofacial Surgery
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
-
- Oral and Maxillofacial Surgery Clinic/Center
- Stamford, CT
- NPI 1720520976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194894097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 DUNDEE ROAD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06903",
"telephone_number": "203-322-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 BRIDGE STREET",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06905",
"telephone_number": "203-325-2661",
"fax_number": "203-323-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "4974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.