Casey Tatsch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34278 Issued in TX

Practice address

902 Kitty Hawk Rd Ste 100
Universal City, TX 78148-3962

Phone

(210) 566-5599

NPI assigned

Jul 13, 2018

Sex

Male

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

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Galveston, TX
  • NPI 1871766584
  Medicare reassignment NPD
• Coastal Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Texas City, TX
  • NPI 1619667565
  NPD
• Kitty Hawk Smiles Dentistry and Orthodontics, PC

  • General Practice Dentistry
  • Universal City, TX
  • NPI 1245599539
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1548746407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD STE 100",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KITTY HAWK RD STE 100",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483962",
            "telephone_number": "210-566-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATSCH",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darinae Neshawn Stroud
• Sunland Optical Co., Inc.
• Synergenx Health - Northeast San Antonio LLC
• T.Hulan Yarbrough, DDS, Inc.
• Allison Talamantes
• Madyson Taylor
• Catherine Terrell-Rodriguez, FNP
• Kimberly Terry
• Tetachild Behavior Consultants, LLC
• Texas Dental Orthodontics Practice, PLLC

• General Practice Dentistry in Universal City, TX
• Providers in Universal City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.