Active NPI
Shawn Michael Joseph Casey, DMD
- Dentist
- Pittston Township, PA
National Provider Identifier
1568535359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS028971L
- Practice address
- 1120 Oak St
Pittston Township, PA 18640-3727 - Phone
- (570) 654-4141
- Fax
- (570) 654-2150
- NPI assigned
- Nov 17, 2006
- Last updated
- Oct 28, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS028971L | PA | Primary |
Addresses
Primary practice location
1120 Oak St
Pittston Township, PA 18640-3727
Mailing address
1073 Oak St
Pittston Township, PA 18640-3716
Phone (570) 654-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151116000920 | PA | Order and Referring Only - Other (Physician) | 2466762844 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1568535359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 OAK ST",
"city": "PITTSTON TOWNSHIP",
"state": "PA",
"postal_code": "186403716",
"telephone_number": "570-654-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 OAK ST",
"city": "PITTSTON TOWNSHIP",
"state": "PA",
"postal_code": "186403727",
"telephone_number": "570-654-4141",
"fax_number": "570-654-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "SHAWN",
"middle_name": "MICHAEL JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS028971L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.