Organization Active NPI

Casimir Dental, PLLC

  • Dental Clinic/Center
  • Pueblo, CO
National Provider Identifier
1841954781
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Joel Casimir, DDSNPI 1902219959
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.