Individual provider Active NPI

John Carroll Cason, D.D.S.

  • General Practice Dentistry
  • Alamogordo, NM
National Provider Identifier
1265556195
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1227 Issued in NM
Practice address
1211 New York Ave
Alamogordo, NM 88310-6727
Phone
(505) 434-0470
Fax
(505) 439-5905
NPI assigned
Mar 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1227 NM Primary
General Practice Dentistry 1223G0001X 11710 TX

Addresses

Primary practice location

1211 New York Ave
Alamogordo, NM 88310-6727

Mailing address

1211 New York Ave
Alamogordo, NM 88310-6727
Phone (505) 434-0470

Other identifiers 1

IdentifierTypeStateIssuer
00083212MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1227NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John C Cason DDS PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265556195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106727",
            "telephone_number": "505-434-0470",
            "fax_number": "505-439-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106727",
            "telephone_number": "505-434-0470",
            "fax_number": "505-439-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASON",
        "first_name": "JOHN",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1227",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00083212",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.