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THOMAS L. KASSUBE DDS
NPI 1184792236
Dentist - Periodontics in Sioux Falls, SD

Active since November 30, 2006PECOS Enrolled
3805 S KIWANIS CIR, SIOUX FALLS, SD 57105(605) 335-8830(605) 335-0947 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Thomas L. Kassube Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS L. KASSUBE DDS (NPI 1184792236) is an individual periodontics provider in Sioux Falls, South Dakota, licensed in South Dakota (M552) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184792236
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameTHOMAS L. KASSUBECredential: DDS
Location Address3805 S KIWANIS CIRSioux Falls, SD 57105-4266
Mailing Address2600 S Valley View RdSioux Falls, SD 57106-0537 · (605) 335-8830 · Fax (605) 335-0947
Phone(605) 335-8830
Fax(605) 335-0947
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1184792236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SD · M552
Definition
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.
3805 S KIWANIS CIR, Sioux Falls, SD 57105
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Other Identifiers 1

OtherM552SD · License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas L. Kassube Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSON PERIODONTICS, PROF. LLC
Dentist (Periodontics)
3805 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-8830
KASSUBE & LANKFORD MIDWEST PERIODONTICS, PROF. LLC
Dentist (Periodontics)
3805 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-8830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Kassube's NPI number?

The NPI number for Thomas Kassube is 1184792236. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Thomas Kassube located?

Thomas Kassube practices at 3805 S Kiwanis Cir, Sioux Falls, SD 57105. The listed phone number is (605) 335-8830.

What is Thomas Kassube's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Thomas Kassube enrolled in Medicare?

Yes. Thomas Kassube is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Kassube was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.