Individual provider Active NPI

Susan Ann Cascino, D.D.S.

  • Periodontics
  • Naperville, IL
National Provider Identifier
1841411279
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
019022069 Issued in IL
Practice address
1816 Bay Scott Cir Ste 104
Naperville, IL 60540-1113
Phone
(630) 355-5010
Fax
(630) 355-4317
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 019022069 IL Primary

Addresses

Primary practice location

1816 Bay Scott Cir Ste 104
Naperville, IL 60540-1113

Mailing address

1816 Bay Scott Cir Ste 104
Naperville, IL 60540-1113
Phone (630) 355-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 22, 2015 through Apr 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019022069ILMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan a Cascino, DDS, PC Periodontics CurrentSince Jan 10, 2021 Accepting new patients

Locations

10 Martin Ave
Ste 211
Naperville, IL 60540
Phone (630) 355-5010

1816 Bay Scott Cir
Ste 104
Naperville, IL 60540
Phone (630) 355-5010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1841411279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 BAY SCOTT CIR STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401113",
            "telephone_number": "630-355-5010",
            "fax_number": "630-355-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 BAY SCOTT CIR STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401113",
            "telephone_number": "630-355-5010",
            "fax_number": "630-355-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCINO",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019022069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.