Cass Anthony Radecki, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901014771 Issued in MI

Practice address

203 W Michigan Ave
Saline, MI 48176-1329

Phone

(734) 429-1384

Fax

(734) 944-8038

NPI assigned

May 24, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 10, 2008 through Jan 10, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cass a. Radecki, D.D.S., P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Saline, MI
  • NPI 1124414800
  NPD (past) Authorized official

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962405845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761329",
            "telephone_number": "734-429-1384",
            "fax_number": "734-944-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761329",
            "telephone_number": "734-429-1384",
            "fax_number": "734-944-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADECKI",
        "first_name": "CASS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901014771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M Powell
• Lisa I Powell, DDS
• Madelyn Ann Prebola, OTR
• Quantum Physical Therapy - Pittsfield
• Qasim Qunber
• Eugenia Ramon, L.M.S.W.
• Danielle Rathfon
• Kathryn Raths, LPC
• Rachel Reed, MS, LLP
• Stephanie Elizabeth Reed, FNP-BC

• Oral and Maxillofacial Surgery (Dentist) in Saline, MI
• Providers in Saline, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.