Active NPI
Youseph Kassar, DDS
- General Practice Dentistry
- Morgantown, WV
National Provider Identifier
1376167155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4462
- Practice address
- 453 Van Voorhis Rd
Morgantown, WV 26505-3408 - Phone
- (304) 598-5108
- NPI assigned
- Jun 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4462 | WV | Primary |
Addresses
Primary practice location
453 Van Voorhis Rd
Morgantown, WV 26505-3408
Mailing address
680 Poplar Woods Dr
Morgantown, WV 26505-1109
Phone (304) 685-7905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4462 | Other | WV | DENTAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | V005016@wv.gov | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4462 | WV | MD | General Practice Dentistry |
Interoperability endpoints
- v005016@wv.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1376167155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 POPLAR WOODS DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051109",
"telephone_number": "304-685-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 VAN VOORHIS RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053408",
"telephone_number": "304-598-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSAR",
"first_name": "YOUSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "4462",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "V005016@wv.gov",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "453 Van Voorhis Rd # 23453",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265053408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.