Cassis Dental Center, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CASSIS DENTAL CENTER, PLLC

Practice address

138 Lively St
Fayetteville, WV 25840-1148

Phone

(304) 574-0424

Fax

(304) 574-2102

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bruce L Cassis, DDSNPI 1679664510

Title

Owner / Dentist

Phone

(304) 574-0424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 4

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

• Bruce L Cassis, D.D.S.

  • Dentist
  • Fayetteville, WV
  • NPI 1679664510
  Medicare reassignment NPD Authorized official
• Margaret J Jones, DDS

  • General Practice Dentistry
  • Fayetteville, WV
  • NPI 1821550260
  NPD
• David Lee Meadows, DDS

  • Dentist
  • Fayetteville, WV
  • NPI 1902526924
  NPD
• Daniel Joseph Cassis, D.D.S.

  • General Practice Dentistry
  • Fayetteville, WV
  • NPI 1386964948
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1619339207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LIVELY ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401148",
            "telephone_number": "304-574-0424",
            "fax_number": "304-574-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LIVELY ST",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401148",
            "telephone_number": "304-574-0424",
            "fax_number": "304-574-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIS DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "CASSIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "304-574-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Buch
• Rebecca Buckland
• Charles Robert Burdette Jr., D.O.
• Karen Burtt
• Julie Canterbury
• Bruce L Cassis, D.D.S.
• Daniel Joseph Cassis, D.D.S.
• Angela C Chambers, MA, ADC, LSW
• Charleston Area Medical Center Inc
• Charleston Medical Center, Inc.

• General Practice Dentistry in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.