KASEM DENTAL LLC
NPI 1962240127
Dentist - General Practice in Clermont, FL
About Kasem Dental Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASEM DENTAL LLC (NPI 1962240127), doing business as Hancock Village Dental, is a healthcare organization registered as a general practice in Clermont, Florida and active in the NPI registry since July 2024. The organization lists Nusrat Kasem, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kasem Dental Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kasem Dental LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kasem Dental LLC's NPI number?
The NPI number for Kasem Dental LLC is 1962240127. It was assigned to this organization in the NPPES registry on July 19, 2024. The provider is doing business as Hancock Village Dental.
Where is Kasem Dental LLC located?
Kasem Dental LLC is located at 2560 E Hwy 50 Ste 103, Clermont, FL 34711. The listed phone number is (352) 989-5815.
What is Kasem Dental LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kasem Dental LLC enrolled in Medicare?
Yes. Kasem Dental LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kasem Dental LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Kasem Dental LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kasem Dental LLC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kasem Dental Llc · NPI 1962240127
General Practice organization in Clermont, Florida. Organization record, active in the CMS NPPES registry since July 19, 2024.
## Identity
- **NPI:** 1962240127 (Entity type: Organization)
- **Enumerated:** July 19, 2024
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Also known as:** Hancock Village Dental (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Nusrat Kasem, MANAGER
## Practice location
- **Address:** 2560 E HWY 50 STE 103, Clermont, FL 34711-8411
- **Phone:** (352) 989-5815
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962240127) · Data from the CMS NPPES public registry.