Individual provider Active NPI

Richard Shane McCasland, D.D.S.

  • General Practice Dentistry
  • Levelland, TX
National Provider Identifier
1316950256
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18668 Issued in TX
Practice address
124 Clubview Dr
Levelland, TX 79336-6304
Phone
(806) 894-6830
Fax
(806) 897-1720
NPI assigned
Aug 14, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18668 TX Primary

Addresses

Primary practice location

124 Clubview Dr
Levelland, TX 79336-6304

Mailing address

124 Clubview Dr
Levelland, TX 79336-6304
Phone (806) 894-6830

Other identifiers 2

IdentifierTypeStateIssuer
1522394OtherTXUNITED CONCORDIA
B18668OtherTXTEXAS CHIP DENTAL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18668TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McCasland 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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316950256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CLUBVIEW DR",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366304",
            "telephone_number": "806-894-6830",
            "fax_number": "806-897-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CLUBVIEW DR",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793366304",
            "telephone_number": "806-894-6830",
            "fax_number": "806-897-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLAND",
        "first_name": "RICHARD",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1522394",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP DENTAL",
            "identifier": "B18668",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levelland, TX

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.