Marc C Cassella DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS025173L Issued in PA

Legal business name

MARC C CASSELLA DMD

Practice address

3017 Versailles Ave
McKeesport, PA 15132-1921

Phone

(412) 673-4338

Fax

(412) 673-3761

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marc C Cassella, DMDNPI 1619959046

Title

Owner

Phone

(412) 673-4338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Christopher Cassella, DMD

  • Dentist
  • McKeesport, PA
  • NPI 1619959046
  NPD (past) Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1376998450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 VERSAILLES AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151321921",
            "telephone_number": "412-673-4338",
            "fax_number": "412-673-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 VERSAILLES AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151321921",
            "telephone_number": "412-673-4338",
            "fax_number": "412-673-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC C CASSELLA DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "CASSELLA",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-673-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS025173L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010628770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela R Malus, RN
• Alexandra Elizabeth Manley, CRNP
• Lori Manners, MS CCC-SLP/L
• Maria Isabella Manoleras
• Matthew Maples, PT
• Terri Marciniak
• Christy Marie Markel
• Andrea Markilinski
• Steven Markovitz
• Tina Marshall, MA

• Dental Clinic/Center in McKeesport, PA
• Providers in McKeesport, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.