Active NPI
Stephanie Diane Castro, DDS
- Dentist
- Buda, TX
National Provider Identifier
1164078143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35638
- Practice address
- 15550 S Interstate 35 Ste 110
Buda, TX 78610-3887 - Phone
- (512) 265-8427
- Fax
- (512) 271-6464
- NPI assigned
- Aug 14, 2019
- Last updated
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35638 | TX | Primary |
Addresses
Primary practice location
15550 S Interstate 35 Ste 110
Buda, TX 78610-3887
Mailing address
PO Box 840925
Dallas, TX 75284-0925
Phone (512) 265-8427
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35638 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush32 Dental of Buda PLLC | Dentist | Current | Accepting new patients |
Locations
15550 S Ih 35
Ste 110
Buda, TX 78610
Phone (512) 265-8427
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": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1164078143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840925",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840925",
"telephone_number": "512-265-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15550 S INTERSTATE 35 STE 110",
"city": "BUDA",
"state": "TX",
"postal_code": "786103887",
"telephone_number": "512-265-8427",
"fax_number": "512-271-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "STEPHANIE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.