NPIMap

Organization Active NPI

Endodontic Associates

  • Endodontics
  • Clearwater, FL
National Provider Identifier
1437294741
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC ASSOCIATES
Practice address
3165 McMullen Booth Rd
BLDG a Suite 2
Clearwater, FL 33761-2032
Phone
(727) 796-2183
Fax
(727) 726-8827
NPI assigned
Feb 21, 2007
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Raed S Kasem, DDS MS
Title
Owner
Phone
(727) 796-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

3165 McMullen Booth Rd
BLDG a Suite 2
Clearwater, FL 33761-2032

Mailing address

3165 McMullen Booth Rd
BLDG a Suite 2
Clearwater, FL 33761-2032
Phone (727) 796-2183

National Provider Directory

National Provider Directory

Locations

3165 N McMullen Booth Rd
Ste A2
Clearwater, FL 33761
Phone (727) 796-2183

Practitioners & affiliated clinicians

Practitioners 6

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1437294741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 MCMULLEN BOOTH RD",
            "address_2": "BLDG A SUITE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-796-2183",
            "fax_number": "727-726-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 MCMULLEN BOOTH RD",
            "address_2": "BLDG A SUITE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-796-2183",
            "fax_number": "727-726-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "KASEM",
        "authorized_official_first_name": "RAED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-796-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.