DANIEL KIM CASSITY (NPI# 1811024011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811024011 |
| Entity Type | Individual |
| Full Name | DANIEL KIM CASSITY |
| Credential | DMD,MS |
| Practice Address |
5331 S Adams Ave Ste A Ogden UT 84405-4753 |
| Practice Telephone | 8014755577 |
| Mailing Telephone | 8014755577 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4934211-9922 | UT | Dental Providers |
| Street Address |
5331 S ADAMS AVE STE A |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639388697 | Kent W. Gragg | Dentist | 237 West Mulberry, Ogden, IA 50212-0813 | 2007-05-22 |
| 1548330004 | Robert Wade Ferrell | Dentist | 1508 E Skyline Dr, Suite #300, Ogden, UT 84405-4846 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1225673429 | Mountain View Dental Pdc Pllc | Dentist | 6783 S Redwood Rd #201, South Jordan, UT 84084-5743 | 2019-11-12 |
| 1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
| 1649837337 | North Logan Pdc Pllc | Dentist | 1445 N 400 E Ste 3a, Logan, UT 84341-7564 | 2019-05-29 |
| 1154701993 | Robert David Swenson | Dentist | 3397 N 1200 E Ste 111, Lehi, UT 84043 | 2015-06-07 |
| 1710385000 | C & F Implants LLC | Dentist | 347 N 300 W, Suite 201, Kaysville, UT 84037-1828 | 2014-12-18 |
| 1548668353 | C & F Implants LLC | Dentist | 5331 Adams Ave Pkwy Ste A, South Ogden, UT 84405-4755 | 2014-12-10 |
| 1457797185 | Rachana Ashok Hegde | Dentist | 10920 S River Front Parkway, College of Dental Medicine Roseman University of Health, South Jordan, UT 84095 | 2013-05-21 |
| 1265788210 | Mitchell Miles Gubler | Dentist | 368 E Riverside Dr Ste 7, St George, UT 84790-7278 | 2012-07-27 |
| 1881982585 | Lloyd V Tilt | Dentist | 1316 Harvard Ave, Salt Lake City, UT 84105-1916 | 2011-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.