Active NPI
Casimir Dental, PLLC
- Dental Clinic/Center
- Pueblo, CO
National Provider Identifier
1841954781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CASIMIR DENTAL, PLLC
- Practice address
- 1407 W 29TH St
Pueblo, CO 81008-1269 - Phone
- (816) 833-9815
- NPI assigned
- Oct 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joel Casimir, DDS
- Title
- Owner
- Phone
- (816) 833-9815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1407 W 29TH St
Pueblo, CO 81008-1269
Mailing address
1407 W 29TH St
Pueblo, CO 81008-1269
Phone (816) 833-9815
Other names 1
- Down to Earth Dental
National Provider Directory
National Provider DirectoryLocations
1407 W 29th St
Pueblo, CO 81008
Phone (719) 546-0404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pueblo, CO
- NPI 1902219959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1841954781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 W 29TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081269",
"telephone_number": "816-833-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 W 29TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081269",
"telephone_number": "816-833-9815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASIMIR DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-17",
"status": "A",
"authorized_official_last_name": "CASIMIR",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-833-9815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Down to Earth Dental",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.