Jon William Cassell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DPO33913 Issued in CA

Practice address

591 Camino de la Reina
Suite 412
San Diego, CA 92108-3102

Phone

(619) 220-7475

Fax

(619) 220-7484

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jon W. Cassell, D.D.S. Inc.

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1700593787
  NPD Authorized official
• Shawyan Yazdanmehr DDS PC

  • Dentist
  • San Diego, CA
  • NPI 1023909975
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1336329135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA",
            "address_2": "SUITE 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083102",
            "telephone_number": "619-220-7475",
            "fax_number": "619-220-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA",
            "address_2": "SUITE 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083102",
            "telephone_number": "619-220-7475",
            "fax_number": "619-220-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELL",
        "first_name": "JON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DPO33913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD",
            "identifier": "33913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Cass, PT, DPT
• Robert William Cass, RN
• Lucinda Cassady, PH.D
• Shalla Cassam
• D. Douglas Cassat, DDS
• Tamar Julia Cassell, MA, LPCC
• Cameron Ray Cassidy, RRT
• Leiana Cassidy
• Nichole Cassidy
• Siobhan L Cassidy, LCSW

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.