Individual provider Active NPI

Elizabeth Cassisi, D.M.D.

  • General Practice Dentistry
  • Sarver, PA
National Provider Identifier
1609940626
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036508 Issued in PA
Practice address
102 N. Pike Rd
Sarver, PA 16055
Phone
(724) 353-1521
Fax
(724) 295-3749
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036508 PA Primary

Addresses

Primary practice location

102 N. Pike Rd
Sarver, PA 16055

Mailing address

102 N Pike Rd
Sarver, PA 16055-9734
Phone (724) 353-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS036508PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Associates Professional Corporation General Practice PastSince Nov 8, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1609940626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N PIKE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559734",
            "telephone_number": "724-353-1521",
            "fax_number": "724-295-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N. PIKE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "16055",
            "telephone_number": "724-353-1521",
            "fax_number": "724-295-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSISI",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.