Individual provider Active NPI

Karla Judith Sermeno Castillo

  • Endodontics
  • San Antonio, TX
National Provider Identifier
1093294852
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
34481 Issued in TX
Practice address
5841 NW Loop 410 Ste 110
San Antonio, TX 78238-2526
Phone
(210) 521-4600
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 34481 TX Primary

Addresses

Primary practice location

5841 NW Loop 410 Ste 110
San Antonio, TX 78238-2526

Mailing address

25407 Mesa VW
San Antonio, TX 78258-4825
Phone (323) 632-3421

Other practice location 1

1130 E Sonterra Blvd Ste 140
San Antonio, TX 78258-4236
Phone (210) 497-6699

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

LicenseStateTypeSpecialty
34481TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Microendodontics Endodontics Past Accepting new patients
Specialty1Partners Endodontics PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1093294852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25407 MESA VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584825",
            "telephone_number": "323-632-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 NW LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382526",
            "telephone_number": "210-521-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 E Sonterra Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584236",
            "country_code": "US",
            "telephone_number": "210-497-6699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERMENO CASTILLO",
        "first_name": "KARLA",
        "middle_name": "JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "34481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.