Michael James Casey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WI2054G Issued in WI

Practice address

511 Aber Dr Ste a
Waterford, WI 53185-4401

Phone

(262) 534-6515

Fax

(262) 534-2437

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992889133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ABER DR STE A",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854401",
            "telephone_number": "262-534-6515",
            "fax_number": "262-534-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ABER DR STE A",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854401",
            "telephone_number": "262-534-6515",
            "fax_number": "262-534-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "WI2054G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Budish
• Kathleen Renee Byrne, LPN
• Caring Hands Transportation of Wisconsin LLC
• Abby Gail Carlton, OTR/L
• Lorraine D Carpenter, OTR
• Rachel Casleton, DPT,PT
• Brianna Casper
• Kelsie Chasten, OTR
• Katlyn Christiansen
• Roxanne Lynn Colwell, PHARMD

• All providers in Waterford, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.