Carla Ida Castaneda, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28400 Issued in TX

Practice address

2707 W Trenton Rd
Edinburg, TX 78539-3433

Phone

(956) 630-4899

NPI assigned

Sep 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1063761708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 FAIR OAKS DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785742000",
            "telephone_number": "713-256-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-630-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "CARLA",
        "middle_name": "IDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28400",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casmar Enterprises Inc
• Jorge Luis Casquero Leon, M.D
• Chris Casso, M.D.
• Adrian Castaneda Hidalgo, MD
• Alma Graciela Castaneda, LPC
• Lucia Yvette Castaneda, M .ED, LPC
• Monica Castaneda
• Nathaniel Castaneda
• Sonya R Castaneda, LPC
• Vanesa Castellanos Martinez

• General Practice Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.