Carrie Kassner, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5825 Issued in WI

Practice address

711 W Moreland Blvd Ste 204
Waukesha, WI 53188-2483

Phone

(262) 896-9891

NPI assigned

Mar 26, 2018

Sex

Female

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

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1770088460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 JENNA DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938344",
            "telephone_number": "602-225-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MORELAND BLVD STE 204",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882483",
            "telephone_number": "262-896-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSNER",
        "first_name": "CARRIE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Kasbohm
• Heather Kasmarek, RDH
• Edward G Kass, MD
• Gregory Allen Kass, M.D.
• Emily Kassens
• Kristin T Kastner, NP
• Christopher Kasun, SAC-IT
• Nicole Katcha, APNP
• Kathy D Hartke MD SC
• Imad Katib, M.D.

• Dental Hygienist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.