Active NPI
Brennan Patrick Kearns Cassidy, DDS
- General Practice Dentistry
- Chicopee, MA
National Provider Identifier
1467018077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12801
- Practice address
- 377 Montgomery St
Chicopee, MA 01020-1929 - Phone
- (413) 592-2500
- NPI assigned
- May 20, 2019
- Last updated
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12801 | CT | Primary |
Addresses
Primary practice location
377 Montgomery St
Chicopee, MA 01020-1929
Mailing address
306 Ellington Rd
Longmeadow, MA 01106-1559
Phone (413) 237-6392
Other practice location 1
1000 Asylum Ave Ste 3200
Hartford, CT 06105-1702
Phone (860) 714-4995
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12801 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Hospital and Medical Center | Past | Accepting new patients | |
| Durrani, D.M.D. P.C. | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Hartford, CT
- NPI 1003805524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1467018077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 ELLINGTON RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061559",
"telephone_number": "413-237-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201929",
"telephone_number": "413-592-2500"
}
],
"practiceLocations": [
{
"address_1": "1000 Asylum Ave Ste 3200",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051702",
"country_code": "US",
"telephone_number": "860-714-4995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSIDY",
"first_name": "BRENNAN",
"middle_name": "PATRICK KEARNS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "12801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.