Individual provider Active NPI

Jonathan Leonard Castleman, DDS

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1124684055
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025786 Issued in OH
Practice address
8284 Beechmont Ave # 1
Cincinnati, OH 45255-3153
Phone
(513) 231-1012
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 30.025786 OH Primary

Addresses

Primary practice location

8284 Beechmont Ave # 1
Cincinnati, OH 45255-3153

Mailing address

PO Box 3571
Columbus, OH 43210-0571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190823000125 OH Order and Referring Only - DentistPractitioner - Dentist 6901134329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025786OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1124684055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3571",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432100571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 BEECHMONT AVE # 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553153",
            "telephone_number": "513-231-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEMAN",
        "first_name": "JONATHAN",
        "middle_name": "LEONARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.