Snjezana Cacovean, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS19657L Issued in PA

Practice address

960 Old York Rd Ste 102
Abington, PA 19001-4709

Phone

(215) 576-1833

Fax

(215) 576-0743

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 28, 2018 through Dec 28, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1467479014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 BUCKINGHAM RD",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190462312",
            "telephone_number": "215-681-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 OLD YORK RD STE 102",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014709",
            "telephone_number": "215-576-1833",
            "fax_number": "215-576-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACOVEAN",
        "first_name": "SNJEZANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS19657L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bussinger
• Karyn L Butler, MD
• C & G Dental, KLC (Abington Dental Care)
• C & V Enterprises, Inc (T/a Abet Medical)
• Megan Cacciamani, CRNA
• Rebecca Callaghan, DO
• Danielle M Callahan, PA
• Reilly Callahan, MA,MD
• Renee A Campbell, MD
• Candace J Caparro, PHARM.D.

• General Practice Dentistry in Abington, PA
• Providers in Abington, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.