Edmund a. Cassella DMD, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1748 Issued in HI

Legal business name

EDMUND A. CASSELLA DMD, LLC

Practice address

1441 Kapiolani Blvd Ste 1506
Honolulu, HI 96814-4407

Phone

(808) 955-1506

Fax

(808) 955-1551

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edmund A. Cassella, DMD

Title

Owner

Phone

(808) 955-1506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1275776189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1506",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-955-1506",
            "fax_number": "808-955-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1506",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-955-1506",
            "fax_number": "808-955-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND A. CASSELLA DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "CASSELLA",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-955-1506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Periodontics in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.