Antonio Caso, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE00008739 Issued in WA

Practice address

310 S 3Rd Ave
Walla Walla, WA 99362-3037

Phone

(509) 529-3760

Fax

(509) 529-7622

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

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.

• Walla Walla Oms, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Walla Walla, WA
  • NPI 1417226283
  Medicare reassignment Authorized official
• Antonio D. Caso, D.D.S., P.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Walla Walla, WA
  • NPI 1265441497
  NPD (past) Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1689844003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037",
            "telephone_number": "509-529-3760",
            "fax_number": "509-529-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASO",
        "first_name": "ANTONIO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00008739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Diede Speech Language Services
• Corey Carson, PA
• Nika Marie Carter-Lee, RN BSN
• Cassandra May Carter
• Julia Therese Carter, MD
• Jennifer Patricia Caso, ARNP
• Emily Grace Castillo, ARNP
• Catherine J. Mehn, Licsw
• Catholic Children & Family Service
• Diana Rami Cation, ARNP

• Oral and Maxillofacial Surgery (Dentist) in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.