Individual provider Active NPI

Sarah Elizabeth Cassol, DDS

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1649366097
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7812 Issued in KY
Practice address
800 Zorn Ave
Vamc Dental Service
Louisville, KY 40206-1433
Phone
(502) 287-5352
Fax
(502) 287-6174
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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 7812 KY Primary

Addresses

Primary practice location

800 Zorn Ave
Vamc Dental Service
Louisville, KY 40206-1433

Mailing address

1800 Bluegrass Ave
Louisville, KY 40215-1130
Phone (502) 375-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722003894 KY Practitioner - Oral Surgery 0244543064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7812KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky CurrentSince Jun 13, 2015 Accepting new patients
Commonwealth of Kentucky CurrentSince Jun 13, 2015 Accepting new patients

Locations

1800 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-2301

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1649366097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151130",
            "telephone_number": "502-375-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZORN AVE",
            "address_2": "VAMC DENTAL SERVICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061433",
            "telephone_number": "502-287-5352",
            "fax_number": "502-287-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSOL",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.