NPIMap

Organization Active NPI

Jennifer I. Casaus, D.D.S., PA

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1568686228
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1768 Issued in NM
Legal business name
JENNIFER I. CASAUS, D.D.S., PA
Practice address
5920 Cubero NE
Albuquerque, NM 87109
Phone
(505) 822-0664
Fax
(505) 797-0531
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Jennifer I. Casaus, D.D.S., PANPI 1114931433
Title
Owner
Phone
(505) 822-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1768 NM Primary

Addresses

Primary practice location

5920 Cubero NE
Albuquerque, NM 87109

Mailing address

5920 Cubero NE
Albuquerque, NM 87109
Phone (505) 822-0664

National Provider Directory

National Provider Directory

Locations

5920 Cubero Dr NE
Albuquerque, NM 87109
Phone (505) 822-0663

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1568686228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 CUBERO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-822-0664",
            "fax_number": "505-797-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 CUBERO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-822-0664",
            "fax_number": "505-797-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER I. CASAUS, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "CASAUS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-822-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.