Casey J Floros, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7135-15 Issued in WI

Practice address

825 Prospect Ave
North Fond Du Lac, WI 54937-1365

Phone

(920) 923-0310

NPI assigned

Jul 24, 2013

Sex

Male

Sole proprietor

No

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.

• MDC North Fondy SC

  • General Practice Dentistry
  • North Fond Du Lac, WI
  • NPI 1225470842
  NPD (past)
• Orvis J. R. Johnson DDS,SC

  • Health Maintenance Organization
  • North Fond Du Lac, WI
  • NPI 1063512267
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1821430448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMELOT DR",
            "address_2": "SUITE 3",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358048",
            "telephone_number": "920-948-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 PROSPECT AVE",
            "city": "NORTH FOND DU LAC",
            "state": "WI",
            "postal_code": "549371365",
            "telephone_number": "920-923-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOROS",
        "first_name": "CASEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7135-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Patrick Conley, D.C.
• Consultants Laboratory of Wisconsin, LLC
• Nicole R Dassow, NP
• Ceara Jenelle Dean, LPN
• Tiffany Gail Fisher, D.P.T
• Douglas R Fownes, MD
• Russell J Fredrickson, MD
• Nicole Garcia
• Denise R Gatien Brux, NP
• Jamie Gueller

• General Practice Dentistry in North Fond Du Lac, WI
• Providers in North Fond Du Lac, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.