Organization Active NPI

Castile Dental Group PLLC

  • Dental Clinic/Center
  • Shelby TWP, MI
National Provider Identifier
1093584674
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CASTILE DENTAL GROUP PLLC
Practice address
8152 25 Mile Rd Ste C
Shelby TWP, MI 48316-1904
Phone
(586) 992-9222
NPI assigned
Dec 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Authorized official

Name
Evan Corey Castile, DDSNPI 1801448527
Title
Owner/Dentist
Phone
(586) 992-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8152 25 Mile Rd Ste C
Shelby TWP, MI 48316-1904

Mailing address

8152 25 Mile Rd Ste C
Shelby TWP, MI 48316-1904
Phone (586) 992-9222

Other names 1

  • Castile Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

8152 25 Mile Rd
Ste C
Shelby Township, MI 48316
Phone (586) 992-9222

Practitioners & affiliated clinicians

Practitioners 1

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": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1093584674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161904",
            "telephone_number": "586-992-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161904",
            "telephone_number": "586-992-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A",
        "authorized_official_last_name": "CASTILE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "586-992-9222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.