Active NPI
Christopher Rylan Cason, DMD, OMFS
- Oral and Maxillofacial Surgery (Dentist)
- Fort Cavazos, TX
National Provider Identifier
1790209484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 33309
- Practice address
- 36065 Santa Fe Ave
Oral & Maxillofacial Surgery Clinic
Fort Cavazos, TX 76544 - Phone
- (254) 553-6417
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33309 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 33309 | TX | Primary |
Addresses
Primary practice location
36065 Santa Fe Ave
Oral & Maxillofacial Surgery Clinic
Fort Cavazos, TX 76544
Mailing address
USA Dentac Fort Cavazos 36000 Shoemaker Lane
Suite 1051
Fort Cavazos, TX 76544
Phone (781) 771-2719
Other practice location 1
2301 Clear Creek Rd Ste 106
Killeen, TX 76549-4198
Phone (254) 285-2014
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33309 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1790209484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USA DENTAC FORT CAVAZOS 36000 SHOEMAKER LANE",
"address_2": "SUITE 1051",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "781-771-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36065 SANTA FE AVE",
"address_2": "ORAL & MAXILLOFACIAL SURGERY CLINIC",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-553-6417"
}
],
"practiceLocations": [
{
"address_1": "2301 Clear Creek Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765494198",
"country_code": "US",
"telephone_number": "254-285-2014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASON",
"first_name": "CHRISTOPHER",
"middle_name": "RYLAN",
"name_prefix": "Dr.",
"credential": "DMD, OMFS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2024-07-02",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33309",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "33309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.