Cascade Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CASCADE ORAL & MAXILLOFACIAL SURGERY

Practice address

101 W Cascade Way
Suite 103
Spokane, WA 99208-6003

Phone

(590) 468-1535

Fax

(509) 467-6372

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John Richard Ames, D.D.S.

Title

President

Phone

(509) 468-1535

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730179334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CASCADE WAY",
            "address_2": "SUITE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086003",
            "telephone_number": "590-468-1535",
            "fax_number": "509-467-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CASCADE WAY",
            "address_2": "SUITE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086003",
            "telephone_number": "590-468-1535",
            "fax_number": "509-467-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-468-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5027834",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "5348121280021310",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "153401",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB20298",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan David Carvo, RPH
• Carlotta Cary, PA-C
• Cascade Dental Care
• Cascade Dental Care
• Cascade Health Services PLLC
• Liam Cascelli
• Amanda Case
• Daniel J. Case, M.D.
• Erinn Alexandra Case, ARNP
• Saryl Case

• Oral and Maxillofacial Surgery (Dentist) in Spokane, WA
• Providers in Spokane, 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 Aug 22, 2020; 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.