Organization Active NPI

Jon W. Cassell, D.D.S. Inc.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1700593787
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JON W. CASSELL, D.D.S. INC.
Doing business as
Jon W. Cassell, D.D.S. Inc.
Practice address
591 Camino de la Reina Ste 412
San Diego, CA 92108-3106
Phone
(619) 220-7475
Fax
(619) 220-7484
NPI assigned
Oct 31, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Mr. Jon W Cassell, D.D.S.NPI 1336329135
Title
Owner/Dentist
Phone
(619) 987-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

591 Camino de la Reina Ste 412
San Diego, CA 92108-3106

Mailing address

591 Camino de la Reina Ste 412
San Diego, CA 92108-3106
Phone (619) 220-7475

Other names 1

  • JON W. CASSELL, D.D.S. INC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1700593787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083106",
            "telephone_number": "619-220-7475",
            "fax_number": "619-220-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA STE 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083106",
            "telephone_number": "619-220-7475",
            "fax_number": "619-220-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON W. CASSELL, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "619-987-2550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JON W. CASSELL, D.D.S. INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.