Gerard A Cascio, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12348 Issued in TX

Practice address

3560 Delaware St
Suite 102
Beaumont, TX 77706-3067

Phone

(409) 892-2600

Fax

(409) 892-5970

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 27, 2016 through May 27, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 3560 Beaumont Smile Professional, PLLC

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1851272538
  NPD (past)
• Beaumont Smile Center, P.a.

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1255686226
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609888148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-892-2600",
            "fax_number": "409-892-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "409-892-2600",
            "fax_number": "409-892-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCIO",
        "first_name": "GERARD",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "D12348",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antramese Carry, LVN
• Carson H, Inc.
• Clarissa Carter
• Matthew Carter, APRN
• Natorian Carter
• Carol M Cash, RN ACNP-BC CNN
• Myeisha Tane' Casmire Clifton, FNP
• Peter J Cass, OD
• Cassie'S Quality Care Package
• Alexander Castillo

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.