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MR. KEVIN JOHN CASSIDY DDS
NPI 1841393360
Dentist in South Lake Tahoe, CA

Active since September 07, 2006
585 TAHOE KEYS BLVD, STE 2, SOUTH LAKE TAHOE, CA 96150(530) 541-3772(530) 541-0330 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kevin John Cassidy Dds NPPES

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

MR. KEVIN JOHN CASSIDY DDS (NPI 1841393360) is an individual dentist in South Lake Tahoe, California, licensed in California (37979) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1841393360
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. KEVIN JOHN CASSIDYCredential: DDS
Location Address585 TAHOE KEYS BLVD, STE 2South Lake Tahoe, CA 96150
Mailing Address585 Tahoe Keys Blvd, Ste 2South Lake Tahoe, CA 96150 · (530) 541-3772 · Fax (530) 541-0330
Phone(530) 541-3772
Fax(530) 541-0330
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841393360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 37979
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
585 TAHOE KEYS BLVD, South Lake Tahoe, CA 96150
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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 Kevin Cassidy's NPI number?

The NPI number for Kevin Cassidy is 1841393360. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Kevin Cassidy located?

Kevin Cassidy practices at 585 Tahoe Keys Blvd Ste 2, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3772.

What is Kevin Cassidy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kevin Cassidy accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kevin Cassidy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Cassidy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.