J. Craig Scasta, D.D.S., PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20230 Issued in TX

Legal business name

J. CRAIG SCASTA, D.D.S., PA

Practice address

1615 Barak LN Ste 2
Bryan, TX 77802-3301

Phone

(979) 260-2626

Fax

(979) 260-2631

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. J. Craig Scasta, D.D.S.

Title

President

Phone

(979) 260-2626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1255667168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BARAK LN STE 2",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023301",
            "telephone_number": "979-260-2626",
            "fax_number": "979-260-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BARAK LN STE 2",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023301",
            "telephone_number": "979-260-2626",
            "fax_number": "979-260-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CRAIG SCASTA, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "SCASTA",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-260-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Bryan, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.