Individual provider Active NPI

Youseph Kassar, DDS

  • General Practice Dentistry
  • Morgantown, WV
National Provider Identifier
1376167155
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4462 Issued in WV
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

Updated by the provider on Jun 8, 2020

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 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

IdentifierTypeStateIssuer
4462OtherWVDENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4462WVMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.