NPIMap

Organization Active NPI

Kathleen M Casacci DDS PC

  • Dentist
  • North Tonawanda, NY
National Provider Identifier
1497243422
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044773-1 Issued in NY
Legal business name
KATHLEEN M CASACCI DDS PC
Practice address
3349 Niagara Falls Blvd
North Tonawanda, NY 14120-1213
Phone
(716) 694-1777
Fax
(716) 694-1888
NPI assigned
Apr 25, 2018
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Dr. Kathleen Marie Casacci, DDSNPI 1215034004
Title
Owner/ Dentist
Phone
(716) 639-1271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 044773-1 NY Primary

Addresses

Primary practice location

3349 Niagara Falls Blvd
North Tonawanda, NY 14120-1213

Mailing address

3349 Niagara Falls Blvd
North Tonawanda, NY 14120-1213
Phone (716) 694-1777

National Provider Directory

National Provider Directory

Locations

3349 Niagara Falls Blvd
North Tonawanda, NY 14120
Phone (716) 694-1777

Practitioners & affiliated clinicians

Practitioners 3

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": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1497243422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201213",
            "telephone_number": "716-694-1777",
            "fax_number": "716-694-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201213",
            "telephone_number": "716-694-1777",
            "fax_number": "716-694-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M CASACCI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "CASACCI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "716-639-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.