Marcus Castro, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30.018626 Issued in OH

Practice address

3690 Orange PL Ste 395
Beachwood, OH 44122-4465

Phone

(216) 464-3456

NPI assigned

Oct 13, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1043462849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 395",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 395",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-464-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.018626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen F Casper, PHD
• Mary Beth Castillo, LISW
• Terri Castlow
• Diane Casto, OCPRS
• Yoel Castro Febles
• Maria Castro
• Catalyst Behavioral Health Services
• Catalyst Behavioral Health Services Inc
• Megan Cavato, LPCC, LPC, ATR, PMHC
• Erica Lynn Cech, MS, RD, LD

• Periodontics in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.