Active NPI
Anthony Castellano, D.D.S.
- General Practice Dentistry
- Kansas City, MO
National Provider Identifier
1093944035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 68558
- Practice address
- 819 Walnut St
Suite 101
Kansas City, MO 64106-1810 - Phone
- (816) 421-6065
- NPI assigned
- Jul 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 68558 | VT | Primary |
| General Practice Dentistry | 1223G0001X | 2009018558 | MO |
Addresses
Primary practice location
819 Walnut St
Suite 101
Kansas City, MO 64106-1810
Mailing address
11 Market Place
Essex Junction, VT 05452
Phone (802) 878-5591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018058 | Medicaid | VT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009018558 | MO | MD | General Practice Dentistry |
| 68558 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex Family Dental | General Practice | Past | Accepting new patients |
| Trevor Clemons DDS PC, II | General Practice | Past | 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.
-
- General Practice Dentistry
- Kansas City, MO
- NPI 1699815886
-
- General Practice Dentistry
- Essex Junction, VT
- NPI 1972514834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1093944035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MARKET PLACE",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "05452",
"telephone_number": "802-878-5591",
"fax_number": "802-878-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 WALNUT ST",
"address_2": "SUITE 101",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641061810",
"telephone_number": "816-421-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANO",
"first_name": "ANTHONY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "68558",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2009018558",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018058",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.