Individual provider Active NPI

James Edward Locascio, DDS

  • General Practice Dentistry
  • Highland, MI
National Provider Identifier
1982816682
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013027 Issued in MI
Practice address
2950 E Highland Rd
Highland, MI 48356-2810
Phone
(248) 682-4003
Fax
(248) 889-1550
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 2901013027 MI Primary

Addresses

Primary practice location

2950 E Highland Rd
Highland, MI 48356-2810

Mailing address

2950 E Highland Rd
Highland, MI 48356-2810
Phone (248) 682-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241216000742 MI Practitioner - Dentist 4082927967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901013027MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Advanced Dental Care PLLC Dentist CurrentSince Feb 16, 2009 Accepting new patients
Highland Oral Appliances LLC CurrentSince Aug 22, 2017 Accepting new patients

Locations

2950 E Highland Rd
Highland, MI 48356
Phone (248) 717-3410

Organizations & group practices 2

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1982816682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-682-4003",
            "fax_number": "248-889-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E HIGHLAND RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562810",
            "telephone_number": "248-682-4003",
            "fax_number": "248-889-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCASCIO",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.