Ian Adan Castell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36512 Issued in TX

Practice address

1205 E Alton Gloor Blvd
Brownsville, TX 78526-3831

Phone

(956) 542-1956

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ian Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tara R. Rios, D.D.S., PLLC

  • General Practice Dentistry
  • Brownsville, TX
  • NPI 1447418520
  NPD
• Tooth Place Psja, PLLC

  • General Practice Dentistry
  • San Juan, TX
  • NPI 1245890300
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1093325615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 OBSIDIAN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785267427",
            "telephone_number": "956-465-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263831",
            "telephone_number": "956-542-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELL",
        "first_name": "IAN",
        "middle_name": "ADAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "GONZALEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica Castaneda
• Jacqueline Castaneda, LPC
• Patricia Marie Castaneda, PA-C
• Yadira Castaneda
• Martha E. Castanuela, PA-C
• Venessa Castellano
• Karen Judith Castellon, MSN-FNP
• Castillo Couseling Center
• Alejandra Castillo, LPC-A
• Dana Eira Castillo, LPC

• General Practice Dentistry in Brownsville, TX
• Providers in Brownsville, 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 Jul 27, 2021; 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.