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DOROTHY KASSAB D.D.S.
NPI 1245253137
Dentist - General Practice in Canastota, NY

Active since July 25, 2006Opted out of Medicare · through Jul 10, 2027
118 S MAIN ST, CANASTOTA, NY 13032(315) 697-9287(315) 697-4038 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dorothy Kassab D.d.s. NPPES

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

DOROTHY KASSAB D.D.S. (NPI 1245253137) is an individual general practice provider in Canastota, New York, licensed in New York (049074) and active in the NPI registry since July 2006. She has opted out of Medicare through July 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245253137
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDOROTHY KASSABCredential: D.D.S.
Location Address118 S MAIN STCanastota, NY 13032-1234
Mailing Address118 S Main StCanastota, NY 13032-1234 · (315) 697-9287 · Fax (315) 697-4038
Phone(315) 697-9287
Fax(315) 697-4038
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1245253137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 049074
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
118 S MAIN ST, Canastota, NY 13032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dorothy Kassab D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 10, 2023 through July 10, 2027.

Opt-Out Effective DateJuly 10, 2023
Opt-Out In Effect ThroughJuly 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13032 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 3

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

NIKHAL SHARMA AND MAHBUBUR RAHMAN DENTAL PLLC
Dentist
118 S MAIN ST
CANASTOTA, NY 13032
Madison County (315) 679-9287
JUAN C KASSAB DMD AND DOROTHY KASSAB DDS PLLC
Dentist (General Practice)
118 S MAIN ST
CANASTOTA, NY 13032
Madison County (315) 697-9287
JUAN CARLOS KASSAB D.M.D
Dentist (General Practice)
118 S MAIN ST
CANASTOTA, NY 13032
Madison County (315) 697-9287

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 Dorothy Kassab's NPI number?

The NPI number for Dorothy Kassab is 1245253137. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Dorothy Kassab located?

Dorothy Kassab practices at 118 S Main St, Canastota, NY 13032. The listed phone number is (315) 697-9287.

What is Dorothy Kassab's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dorothy Kassab enrolled in Medicare?

No. Dorothy Kassab has opted out of Medicare through July 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dorothy Kassab was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.