Joel Javan Casimir, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00204852 Issued in CO

Practice address

1407 W 29TH St
Pueblo, CO 81008-1269

Phone

(816) 833-9815

NPI assigned

Jun 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Casimir Dental, PLLC

  • Dental Clinic/Center
  • Pueblo, CO
  • NPI 1841954781
  NPD Authorized official
• Douglas County Public Health Services Group, Inc.

  dba Missouri Ozarks Community Health

  • Federally Qualified Health Center (FQHC)
  • Mansfield, MO
  • NPI 1912904004
  NPD (past)
• Douglas County Public Health Services Group, Inc.

  • Public Health Dentistry
  • Ava, MO
  • NPI 1942785399
  NPD (past)

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1902219959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 WOODSORREL CT",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809171424",
            "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": {
        "last_name": "CASIMIR",
        "first_name": "JOEL",
        "middle_name": "JAVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-07",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014017650",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Casey III, MD
• Helen Marie Casias, CAC II
• Jesika Casias
• Shania Casias
• Casimir Dental, PLLC
• Barbara Villaverde Casones
• Caitlin Casper
• Savannah Cassares
• Angelica Castellanos
• Joseph W Castelli, MC

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.