Individual provider Active NPI

Arielle Casaclang, DMD

  • General Practice Dentistry
  • Gurnee, IL
National Provider Identifier
1306574660
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.033820 Issued in IL
Practice address
495 N Riverside Dr Ste 204
Gurnee, IL 60031-5920
Phone
(847) 336-8611
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.033820 IL Primary

Addresses

Primary practice location

495 N Riverside Dr Ste 204
Gurnee, IL 60031-5920

Mailing address

2328 S Goebbert Rd Apt 1092
Arlington Heights, IL 60005-5100
Phone (847) 980-3281

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
019.033820ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Scba Casaclang DDS LTD PastSince Aug 14, 2022 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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1306574660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 S GOEBBERT RD APT 1092",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055100",
            "telephone_number": "847-980-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR STE 204",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315920",
            "telephone_number": "847-336-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASACLANG",
        "first_name": "ARIELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.