Organization Active NPI

Jose Mariano Castro D D S Inc

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1043679061
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43911 Issued in CA
Legal business name
JOSE MARIANO CASTRO D D S INC
Practice address
9113 Foothill Blvd Ste 210
Rancho Cucamonga, CA 91730-3452
Phone
(909) 466-1245
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. Jose Mariano Castro
Title
Owner
Phone
(909) 466-1245

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43911 CA Primary
Customized Equipment (DME) 332BC3200X 43911 CA

Addresses

Primary practice location

9113 Foothill Blvd Ste 210
Rancho Cucamonga, CA 91730-3452

Mailing address

9113 Foothill Blvd Ste 210
Rancho Cucamonga, CA 91730-3452
Phone (909) 466-1245

Other names 1

  • smile needs dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jose Mariano Castro D D S Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1043679061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 FOOTHILL BLVD STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303452",
            "telephone_number": "909-466-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 FOOTHILL BLVD STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303452",
            "telephone_number": "909-466-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE MARIANO CASTRO D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-466-1245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43911",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "43911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smile needs dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.