Active NPI
Gregory George Casalone, DDS
- General Practice Physician
- Elsberry, MO
National Provider Identifier
1699759480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12841
- Practice address
- 110 S 4TH St
Elsberry, MO 63343-1426 - Phone
- (573) 898-5575
- NPI assigned
- Dec 5, 2005
- Last updated
- Nov 22, 2011
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12841 | MO | Primary |
Addresses
Primary practice location
110 S 4TH St
Elsberry, MO 63343-1426
Mailing address
110 S 4TH St
Elsberry, MO 63343-1426
Phone (573) 898-5575
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12841 | MO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1699759480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 4TH ST",
"city": "ELSBERRY",
"state": "MO",
"postal_code": "633431426",
"telephone_number": "573-898-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 4TH ST",
"city": "ELSBERRY",
"state": "MO",
"postal_code": "633431426",
"telephone_number": "573-898-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASALONE",
"first_name": "GREGORY",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "12841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elsberry, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.