Joe Craig Scasta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20230 Issued in TX

Practice address

1550 Copperfield Pkwy Ste 2
College Station, TX 77845-4674

Phone

(979) 260-2626

Fax

(979) 260-2631

NPI assigned

Aug 25, 2006

Last updated

Nov 18, 2020By the provider in NPPES

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

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 May 13, 2019 through May 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1922116524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COPPERFIELD PKWY STE 2",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454674",
            "telephone_number": "979-260-2626",
            "fax_number": "979-260-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COPPERFIELD PKWY STE 2",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454674",
            "telephone_number": "979-260-2626",
            "fax_number": "979-260-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCASTA",
        "first_name": "JOE",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Aramis Sardinas
• Anna Marie Satterfield, PH.D.
• Sloane Savoini
• SBH Texas Physician Services Inc
• Hunter Scammon
• Tracey Love Scasta, OD
• Maura Eileen Schaefer, CRNA
• Kim C. Schams, R.N.
• Scott T Schams, MD
• Randy A Schemidt, MD

• General Practice Dentistry in College Station, TX
• Providers in College Station, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.