Phoenix Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHOENIX DENTAL ASSOCIATES

Practice address

2771 Geryville Pike
Pennsburg, PA 18073-2300

Phone

(585) 410-1577

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael Casab, DDSNPI 1982381562

Title

Owner/Doctor

Phone

(585) 410-1577

Specialties & licenses 1

Addresses

Other names 1

• Upper Perk Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Casab, DDS

  • General Practice Dentistry
  • Pennsburg, PA
  • NPI 1982381562
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1306677968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GRYFFINDOR DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601245",
            "telephone_number": "585-410-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 GERYVILLE PIKE",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180732300",
            "telephone_number": "585-410-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "CASAB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "585-410-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Perk Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perkiomen Valley Pediatric Dental
• Personal Care Pediatrics LLC
• Personal Care Pediatrics, LLC
• George Kenneth Petruska, DC, DACRB
• Douglas G Pfeiffer, D.C.
• Phoenix Rehabilitation and Health Services, Inc.
• Sara Elisabeth Pike, O.D.
• Sara Pileggi, BCBA
• Kevin Plageman, PT, ATC
• Gina Lukas Plonski, CRNP

• Dental Clinic/Center in Pennsburg, PA
• Providers in Pennsburg, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.