Individual provider Active NPI

Alexander Rodriguez Castillo, DDS

  • General Practice Dentistry
  • North Bay Village, FL
National Provider Identifier
1114381704
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23650 Issued in FL
Practice address
7601 E Treasure Dr Apt 1909
North Bay Village, FL 33141-4367
Phone
(585) 360-3221
NPI assigned
Apr 8, 2016
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23650 FL Primary

Addresses

Primary practice location

7601 E Treasure Dr Apt 1909
North Bay Village, FL 33141-4367

Mailing address

7601 E Treasure Dr Apt 1909
North Bay Village, FL 33141-4367
Phone (585) 360-3221

Other practice location 1

1250 NW 119th St
Miami, FL 33167-3232
Phone (305) 677-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190228002665 FL Order and Referring Only - DentistPractitioner - Dentist 4688913049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23650FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aldama Dental Group PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1114381704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 E TREASURE DR APT 1909",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414367",
            "telephone_number": "585-360-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 E TREASURE DR APT 1909",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414367",
            "telephone_number": "585-360-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 NW 119th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331673232",
            "country_code": "US",
            "telephone_number": "305-677-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ CASTILLO",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "23650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

Verify at the official NPI Registry.