Active NPI
Robert Wilfred Cassell, D.D.S.
- General Practice Dentistry
- Wasilla, AK
National Provider Identifier
1508198276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 706
- Practice address
- 351 W. Swanson Ave
Suite 1
Wasilla, AK 99654 - Phone
- (907) 376-5315
- Fax
- (907) 376-7855
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 706 | AK | Primary |
Addresses
Primary practice location
351 W. Swanson Ave
Suite 1
Wasilla, AK 99654
Mailing address
351 W. Swanson Ave
Suite 1
Wasilla, AK 99654
Phone (907) 376-5315
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jul 23, 2013 through Jul 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Cassell DDS PC Wasilla Dental Center | Past | Accepting new patients | |
| Coffman Dental, LLC | 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.
-
- Dentist
- Wasilla, AK
- NPI 1528078045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1508198276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 W. SWANSON AVE",
"address_2": "SUITE 1",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-376-5315",
"fax_number": "907-376-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 W. SWANSON AVE",
"address_2": "SUITE 1",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-376-5315",
"fax_number": "907-376-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSELL",
"first_name": "ROBERT",
"middle_name": "WILFRED",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.