NPIMap

Organization Active NPI

Castro Dental Group, PC

  • Periodontics
  • Redding, CA
National Provider Identifier
1093395436
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
CASTRO DENTAL GROUP, PC
Practice address
2411 Hartnell Ave Ste a
Redding, CA 96002-2325
Phone
(530) 244-3500
Fax
(530) 244-2807
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Ms. Jamie Castro
Title
Business MGR
Phone
(530) 898-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2411 Hartnell Ave Ste a
Redding, CA 96002-2325

Mailing address

2411 Hartnell Ave Ste a
Redding, CA 96002-2325
Phone (530) 244-3500

Other names 1

  • Shasta Periodontal Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1093395436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 HARTNELL AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022325",
            "telephone_number": "530-244-3500",
            "fax_number": "530-244-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HARTNELL AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022325",
            "telephone_number": "530-244-3500",
            "fax_number": "530-244-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "530-898-1234",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Periodontal Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.