Active NPI
Charles Joseph Caskey, D. M.D.
- Periodontics
- Ridgeland, MS
National Provider Identifier
1689719486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 1880-80
- Practice address
- 218 West Jackson St.
Ridgeland, MS 39157 - Phone
- (601) 856-1919
- Fax
- (601) 856-1719
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 1880-80 | MS | Primary |
Addresses
Primary practice location
218 West Jackson St.
Ridgeland, MS 39157
Mailing address
218 West Jackson Street
Ridgeland, MS 39157
Phone (601) 856-1919
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1880-80 | MS | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Periodontics and Implants PLLC | Periodontics | Past | Accepting new patients |
Interoperability endpoints
- ccaskey33161@ummc.direct-ci.com
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.
-
- Periodontics
- Ridgeland, MS
- NPI 1497112825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1689719486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 WEST JACKSON STREET",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-856-1919",
"fax_number": "601-856-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 WEST JACKSON ST.",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "39157",
"telephone_number": "601-856-1919",
"fax_number": "601-856-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASKEY",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D. M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MS",
"license": "1880-80",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.