Active NPI
Maria C. Castaneda, DMD
- Pediatric Dentistry
- Delray Beach, FL
National Provider Identifier
1063611630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN16679
- Practice address
- 16850 S Jog Road, Suite 114-N
Delray Beach, FL 33446 - Phone
- (561) 499-1788
- Fax
- (561) 499-1787
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN16679 | FL | Primary |
| Pediatric Dentistry | 1223P0221X | DN 16679 | FL |
Addresses
Primary practice location
16850 S Jog Road, Suite 114-N
Delray Beach, FL 33446
Mailing address
4751 Glenn Pine Lane
Boynton Beach, FL 33436
Phone (786) 266-0677
Other names 1
- Maria C Castaneda-Nodarse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 16679 | FL | MD | Pediatric Dentist |
| DN16679 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Castaneda DMD PL | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Delray Beach, FL
- NPI 1376893792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1063611630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 GLENN PINE LANE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33436",
"telephone_number": "786-266-0677",
"fax_number": "561-499-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 S JOG ROAD, SUITE 114-N",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33446",
"telephone_number": "561-499-1788",
"fax_number": "561-499-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "MARIA",
"middle_name": "C.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN16679",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN 16679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "CASTANEDA-NODARSE",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.