Casandra Lee Tessaro, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS038571 Issued in PA

Practice address

3131 Walnut St
205
Philadelphia, PA 19104-3415

Phone

(216) 217-0256

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1336434919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 WALNUT ST",
            "address_2": "205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043415",
            "telephone_number": "216-217-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 WALNUT ST",
            "address_2": "205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043415",
            "telephone_number": "216-217-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSARO",
        "first_name": "CASANDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS038571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arman Terzian, MD
• Paulida Tes
• Freweini Tesfaledet, PA
• Jacob W Tesfamariam, PHARMD
• Rachel Jacob Teske, CRNP
• Kristen Marcet Tessiatore, MD
• Alan Ralph Tessler, M.D.
• Christopher Michael Testa, PA-C
• Makayla Lee Testa, DO
• Mark A Testa, DO

• Endodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.