Organization Active NPI

Jose M. Castro DDS Inc.

  • Dental Clinic/Center
  • Upland, CA
National Provider Identifier
1144791815
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSE M. CASTRO DDS INC.
Practice address
1183 E Foothill Blvd Ste 150
Upland, CA 91786-4084
Phone
(951) 264-8414
Fax
(909) 727-8320
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Dr. Jose Mariano Castro, DDS
Title
Ceo
Phone
(951) 264-8414

Specialties & licenses 1

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

Addresses

Primary practice location

1183 E Foothill Blvd Ste 150
Upland, CA 91786-4084

Mailing address

1183 E Foothill Blvd Ste 150
Upland, CA 91786-4084
Phone (951) 264-8414

Other identifiers 1

IdentifierTypeStateIssuer
1225113392OtherCANPI

Other names 1

  • smileneeds Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1183 E Foothill Blvd
Ste 150
Upland, CA 91786
Phone (909) 466-1245

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1144791815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 E FOOTHILL BLVD STE 150",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864084",
            "telephone_number": "951-264-8414",
            "fax_number": "909-727-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 E FOOTHILL BLVD STE 150",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864084",
            "telephone_number": "951-264-8414",
            "fax_number": "909-727-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M. CASTRO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-264-8414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225113392",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "smileneeds Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.