Debora Kay Castillo, D.D.S.
Individual provider Active NPI Dentist · Loving, NM
NPI 1043230659 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1043230659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6762 (KS)
- Practice address
- 602 S. 4TH Street
Loving, NM 88256 - Phone
- (575) 745-3573
- Fax
- (575) 745-3550
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151223001809 | KS | Order and Referring Only - Dentist |
0840591491 | |
| I20220426000055 | NM | Order and Referring Only - Dentist |
0840591491 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6762 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6762 | KS | Yes |
Addresses
Primary practice location
602 S. 4TH Street
Loving, NM 88256
Mailing address
PO Box 491
Loving, NM 88256-0491
Phone (575) 745-3573
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | debora.castillo@pmsnm.org | Direct |
Other providers in Loving, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.