Individual provider Active NPI

H. Russell Caston, D.D.S.

  • General Practice Dentistry
  • Union, SC
National Provider Identifier
1043421639
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1525 Issued in SC
Practice address
103 S Boyce St
Union, SC 29379-2203
Phone
(864) 427-2486
Fax
(864) 427-7520
NPI assigned
May 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1525 SC Primary

Addresses

Primary practice location

103 S Boyce St
Union, SC 29379-2203

Mailing address

PO Box 804
Union, SC 29379-0804
Phone (864) 427-2486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517001584 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264721190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043421639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293790804",
            "telephone_number": "864-427-2486",
            "fax_number": "864-427-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BOYCE ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792203",
            "telephone_number": "864-427-2486",
            "fax_number": "864-427-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTON",
        "first_name": "H.",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.