Individual provider Active NPI

Jeffrey M. Casiglia, DMD, DMSC

  • General Practice Dentistry
  • Salem, MA
National Provider Identifier
1568569473
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19726 Issued in MA
Practice address
398 Essex St
Salem, MA 01970-3154
Phone
(978) 744-7904
Fax
(978) 745-8302
NPI assigned
Sep 20, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19726 MA
General Practice Dentistry 1223G0001X 19726 MA Primary

Addresses

Primary practice location

398 Essex St
Salem, MA 01970-3154

Mailing address

398 Essex St
Salem, MA 01970-3154
Phone (978) 744-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20120927000808 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789833153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey M. Casiglia DMD DMSC PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1568569473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703154",
            "telephone_number": "978-744-7904",
            "fax_number": "978-745-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 ESSEX ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703154",
            "telephone_number": "978-744-7904",
            "fax_number": "978-745-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIGLIA",
        "first_name": "JEFFREY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD, DMSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "19726",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.