Individual provider Active NPI

Jonathan David Caso, DMD

  • General Practice Dentistry
  • Fort Belvoir, VA
National Provider Identifier
1699058305
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS038080 Issued in PA
Practice address
9275 Doerr Rd Ste 1400
Northern Regional Dental Command
Fort Belvoir, VA 22060-2204
Phone
(571) 231-5374
NPI assigned
Sep 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS038080 PA
General Practice Dentistry 1223G0001X DS038080 PA Primary

Addresses

Primary practice location

9275 Doerr Rd Ste 1400
Northern Regional Dental Command
Fort Belvoir, VA 22060-2204

Mailing address

9275 Doerr Rd Ste 1400
Northern Regional Dental Command
Fort Belvoir, VA 22060-2204
Phone (571) 231-5374

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
DS038080PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1699058305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 DOERR RD STE 1400",
            "address_2": "NORTHERN REGIONAL DENTAL COMMAND",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 DOERR RD STE 1400",
            "address_2": "NORTHERN REGIONAL DENTAL COMMAND",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASO",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038080",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.