Maria Veronica Vallejos Castillo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61145500 Issued in WA

Practice address

2911 2ND Ave Ste 106
Seattle, WA 98121-5120

Phone

(786) 510-5254

NPI assigned

Apr 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1104203942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 26TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072427",
            "telephone_number": "786-510-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 2ND AVE STE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981215120",
            "telephone_number": "786-510-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJOS CASTILLO",
        "first_name": "MARIA",
        "middle_name": "VERONICA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61145500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Anne Valero, PA-C
• Loris Valeros, ARNP
• Natalie Valeur, M.D.
• Sarita Valji
• Jacob Edward Valk, MD
• Alexandra Celine Vallera, MD
• Joseph Thomas Valley, RN
• Stacia Anne Valley, LMP
• Jennifer M Vallidis, ARNP, CNM, FNP
• Eric Vallieres, MD

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.