Daniel Joseph Cassis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3912 Issued in WV

Practice address

138 Lively St
Fayetteville, WV 25840-1148

Phone

(304) 574-0424

Fax

(304) 574-2102

NPI assigned

Jun 7, 2010

Last updated

Jun 7, 2010By the provider in NPPES

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 LA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bruce L. Cassis

  • General Practice Dentistry
  • Fayetteville, WV
  • NPI 1275718710
  NPD (past)
• Cassis Dental Center, PLLC

  • General Practice Dentistry
  • Fayetteville, WV
  • NPI 1619339207
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1386964948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LIVELY ST",
            "address_2": "PO BOX 926",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401148",
            "telephone_number": "304-574-0424",
            "fax_number": "304-574-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LIVELY ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401148",
            "telephone_number": "304-574-0424",
            "fax_number": "304-574-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIS",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Robert Burdette Jr., D.O.
• Karen Burtt
• Julie Canterbury
• Cassis Dental Center, PLLC
• Bruce L Cassis, D.D.S.
• Angela C Chambers, MA, ADC, LSW
• Charleston Area Medical Center Inc
• Charleston Medical Center, Inc.
• Madison Chase McCreary
• Jennifer Lea Coffman, RN

• General Practice Dentistry in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.