NPIMap

Organization Active NPI

Gerry J.Casazza, D.M.D, F.a.G.D. & Assciates

  • Dental Clinic/Center
  • Wakefield, MA
National Provider Identifier
1427227651
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
17940 Issued in MA
Legal business name
GERRY J.CASAZZA, D.M.D, F.A.G.D. & ASSCIATES
Practice address
968 Main St
Wakefield, MA 01880-3989
Phone
(781) 245-7650
Fax
(781) 245-7259
NPI assigned
Feb 21, 2008
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Gerry J Casazza, D.M.D.NPI 1609907922
Title
Owner
Phone
(781) 245-7650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 17940 MA Primary

Addresses

Primary practice location

968 Main St
Wakefield, MA 01880-3989

Mailing address

968 Main St
Wakefield, MA 01880-3989
Phone (781) 245-7650

National Provider Directory

National Provider Directory

Locations

968 Main St
Wakefield, MA 01880
Phone (781) 245-2299

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1427227651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803989",
            "telephone_number": "781-245-7650",
            "fax_number": "781-245-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803989",
            "telephone_number": "781-245-7650",
            "fax_number": "781-245-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRY J.CASAZZA, D.M.D, F.A.G.D. & ASSCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "CASAZZA",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-245-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "17940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.