Russell L. Casement, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3674 Issued in CO

Legal business name

RUSSELL L. CASEMENT, DDS

Practice address

1355 S Colorado Blvd Ste 320
Denver, CO 80222-3316

Phone

(303) 758-0866

Fax

(303) 758-3657

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Russell L Casement, DDS

Title

President

Phone

(303) 758-0866

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Ann Casement, D.D.S.

  • Dentist
  • Denver, CO
  • NPI 1083619035
  Medicare reassignment NPD
• Cameron Marie Crowley, DDS

  • General Practice Dentistry
  • Denver, CO
  • NPI 1598515819
  NPD (past)
• Autumn Nicole Gray, DDS

  • General Practice Dentistry
  • Slinger, WI
  • NPI 1538721212
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1447576749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223316",
            "telephone_number": "303-758-0866",
            "fax_number": "303-758-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223316",
            "telephone_number": "303-758-0866",
            "fax_number": "303-758-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L. CASEMENT, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "CASEMENT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-758-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "3674",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679575740",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1083619035",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02036747",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Rushlo, DDS
• Jack Rusing, MD
• Mollie Rusinko, PA-S
• Allison Rusnak
• Maia Russek, MSW
• Emily Russell Levy, DO
• Russell WM Simpson MD PC and Associates
• Acquanetta Russell, CPHT
• Adam Russell, NP
• Ali Nell Russell, M.D.

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.