Active NPI
Antonio D. Caso, D.D.S., P.S.
- Oral and Maxillofacial Surgery (Dentist)
- Walla Walla, WA
National Provider Identifier
1265441497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE00008739
- Legal business name
- ANTONIO D. CASO, D.D.S., P.S.
- Practice address
- 310 S 3Rd Ave
Walla Walla, WA 99362-3037 - Phone
- (509) 529-3760
- Fax
- (509) 529-7622
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Caso, D.D.S.
- Title
- Owner
- Phone
- (509) 529-3760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE00008739 | WA | Primary |
Addresses
Primary practice location
310 S 3Rd Ave
Walla Walla, WA 99362-3037
Mailing address
310 S 3Rd Ave
Walla Walla, WA 99362-3037
Phone (509) 529-3760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5046677 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Walla Walla, WA
- NPI 1689844003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265441497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S 3RD AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623037",
"telephone_number": "509-529-3760",
"fax_number": "509-529-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S 3RD AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623037",
"telephone_number": "509-529-3760",
"fax_number": "509-529-7622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTONIO D. CASO, D.D.S., P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CASO",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-529-3760",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE00008739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5046677",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.