Anthony John Kasallis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24747 Issued in TX

Practice address

5150 Montana Ave
El Paso, TX 79903-4904

Phone

(915) 771-0886

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Agave Dental Fun Zone PLLC

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1861106114
  NPD Authorized official
• Kasallis Westside Dental PLLC

  • Dental Clinic/Center
  • El Paso, TX
  • NPI 1588216949
  NPD Authorized official
• TK Family Dentistry PLLC

  • Dental Clinic/Center
  • Socorro, TX
  • NPI 1215589718
  NPD Authorized official

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1720311376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 PINO REAL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122602",
            "telephone_number": "915-204-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034904",
            "telephone_number": "915-771-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASALLIS",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahseen Jalal Karim, MD
• Karina Mendez Vargas MD PA
• Alan J. Karp, M.D.
• Page Anthony Karsteter, DSCPT
• Kasallis Westside Dental PLLC
• Atur A Kasha, D.O.
• Farzan Kashef
• Mariia Kasianchyk
• Lydia Anne Kasmoch, MA, LPC
• Kristin Page Kass, COTA

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.