Kathleen Marie Casacci, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044773-1 Issued in NY

Practice address

3571 Niagara Falls Blvd
North Tonawanda, NY 14120-1200

Phone

(716) 694-1777

Fax

(716) 694-1888

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Wheatfield Dental Group

  • General Practice Dentistry
  • North Tonawanda, NY
  • NPI 1730843418
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1215034004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201213",
            "telephone_number": "716-694-1777",
            "fax_number": "716-694-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201200",
            "telephone_number": "716-694-1777",
            "fax_number": "716-694-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACCI",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Elizabeth Capriotti, LMSW
• Kathryn A Cardona, PT
• David Eugene Carlson Jr., M.D.
• Amy Caron, RNFA FIRST ASSIST
• Kimberlee M Carpenter, P.T.
• Chad E Szymanski DO PLLC
• Elizabeth Champlin, LMSW
• Teresa P Chau, M.D.
• Mencio Antonio Chez, M.D.
• Children'S Creative Therapies

• General Practice Dentistry in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.