Individual provider Active NPI

Alexander Gerard Cassinelli, DMD MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, OH
National Provider Identifier
1407940653
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30020241 Issued in OH
Practice address
7242 Tylers Corner Dr
West Chester, OH 45069-6334
Phone
(513) 777-7060
Fax
(513) 777-0716
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30020241 OH Primary

Addresses

Primary practice location

7242 Tylers Corner Dr
West Chester, OH 45069-6334

Mailing address

7242 Tylers Corner Dr
West Chester, OH 45069-6334
Phone (513) 777-7060

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30020241OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cassinelli and Shanker Orthodontics Partnership Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Alex G. Cassinelli, D.M.D., Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1407940653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7242 TYLERS CORNER DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696334",
            "telephone_number": "513-777-7060",
            "fax_number": "513-777-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7242 TYLERS CORNER DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696334",
            "telephone_number": "513-777-7060",
            "fax_number": "513-777-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSINELLI",
        "first_name": "ALEXANDER",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30020241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.