Gerry J Casazza, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17940 Issued in MA

Practice address

968 Main St
Wakefield, MA 01880-3989

Phone

(781) 245-2299

Fax

(781) 245-7259

NPI assigned

Mar 8, 2007

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

Not listed in the public Medicare enrollment file

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.

• Gerry J.Casazza, D.M.D, F.a.G.D. & Assciates

  • Dental Clinic/Center
  • Wakefield, MA
  • NPI 1427227651
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1609907922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803989",
            "telephone_number": "781-245-2299",
            "fax_number": "781-245-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803989",
            "telephone_number": "781-245-2299",
            "fax_number": "781-245-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAZZA",
        "first_name": "GERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Avery Carpinito
• Stephanie V Carr, M.S., CCC-SLP
• Tanya Camille Carradine-Brehm, CCC-SLP
• Cynthia Carroll
• Joanh Carvajal Ruidiaz
• Laurie Catalano, BCBA, LABA
• Diane Catherman
• Justin Chambers
• Michelle Chapla
• Heather Charbonneau, BCBA

• General Practice Dentistry in Wakefield, MA
• Providers in Wakefield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.