Individual provider Active NPI

Paul F Caselle, D.D.S.

  • General Practice Dentistry
  • Wilmington, MA
National Provider Identifier
1952390403
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13453 Issued in MA
Practice address
211 Lowell St
Unit K
Wilmington, MA 01887-3014
Phone
(978) 657-4550
Fax
(978) 657-5828
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13453 MA Primary

Addresses

Primary practice location

211 Lowell St
Unit K
Wilmington, MA 01887-3014

Mailing address

211 Lowell St
Unit K
Wilmington, MA 01887-3014
Phone (978) 657-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001172 MA Order and Referring Only - DentistPractitioner - Dentist 5597066803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13453MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Sunny Dental, LLC Past Accepting new patients

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1952390403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LOWELL ST",
            "address_2": "UNIT K",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873014",
            "telephone_number": "978-657-4550",
            "fax_number": "978-657-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LOWELL ST",
            "address_2": "UNIT K",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873014",
            "telephone_number": "978-657-4550",
            "fax_number": "978-657-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELLE",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.