Organization Active NPI

Sandra M Castillo DDS

  • General Practice Dentistry
  • Sunny Isles Beach, FL
National Provider Identifier
1053728980
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20757 Issued in FL
Legal business name
SANDRA M CASTILLO DDS
Practice address
17103 N Bay Rd Apt A208
Sunny Isles Beach, FL 33160-3981
Phone
(305) 975-6899
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Sandra M Castillo
Title
Manager
Phone
(305) 975-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN20757 FL Primary

Addresses

Primary practice location

17103 N Bay Rd Apt A208
Sunny Isles Beach, FL 33160-3981

Mailing address

17103 N Bay Rd Apt A208
Sunny Isles Beach, FL 33160-3981
Phone (305) 975-6899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1053728980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17103 N BAY RD APT A208",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603981",
            "telephone_number": "305-975-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17103 N BAY RD APT A208",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603981",
            "telephone_number": "305-975-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA M CASTILLO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-975-6899"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.