Active NPI
Isabel J Castro Munoz, D.D.S.
- Dentist
- Chicago, IL
National Provider Identifier
1083091813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019021158
- Practice address
- 3540 E 118TH St.
Chicago, IL 60617 - Phone
- (773) 646-6262
- NPI assigned
- Apr 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019021158 | IL | Primary |
Addresses
Primary practice location
3540 E 118TH St.
Chicago, IL 60617
Mailing address
3124 S Throop St.
Chicago, IL 60608
Phone (773) 646-6262
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 |
|---|---|---|---|
| 019021158 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Dental Centers, LTD | Dentist | 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.
-
- Dentist
- Chicago, IL
- NPI 1275834509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1083091813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 S THROOP ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "773-646-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 E 118TH ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-646-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO MUNOZ",
"first_name": "ISABEL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019021158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.