Miguel Alberto Casanas Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42656 Issued in NY

Practice address

130 E Jericho Tpke
Mineola, NY 11501-3121

Phone

(516) 284-1234

Fax

(516) 284-1233

NPI assigned

May 7, 2008

Sex

Male

Sole proprietor

No

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 NY

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1386810539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013121",
            "telephone_number": "516-284-1234",
            "fax_number": "516-284-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013121",
            "telephone_number": "516-284-1234",
            "fax_number": "516-284-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANAS",
        "first_name": "MIGUEL",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "42656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin J Carroll, FNP
• John Manning Carson, M.D.
• Steven Carsons, M.D.
• Lee Jennifer Cartagena-Negron, M.D.
• Gina Carucci
• Danielle Nicole Cascione, PA-C
• Susan Joy Casey, MSW LCSW
• Jaime Lynn Cashin
• Kellie-Marie Cassidy
• Sandra Castelli, D.O.

• General Practice Dentistry in Mineola, NY
• Providers in Mineola, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.