Active NPI
Diana Marcela Naffah Castillo, D.D.S.
- Dentist
- Weston, FL
National Provider Identifier
1184934473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 20963
- Practice address
- 2711 Executive Park Dr
Suite 4
Weston, FL 33331-3637 - Phone
- (954) 321-5600
- NPI assigned
- Oct 20, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 20963 | FL | Primary |
| Dentist | 122300000X | 49609 | CA |
Addresses
Primary practice location
2711 Executive Park Dr
Suite 4
Weston, FL 33331-3637
Mailing address
2126 Quail Roost Dr
Weston, FL 33327-1450
Phone (954) 625-0110
Other names 1
- Diana M. Naffah
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 |
|---|---|---|---|
| 49609 | CA | MD | Dentist |
| DN 20963 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abelardo Daya, DMD, PA | 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 and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Weston, FL
- NPI 1780328930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1184934473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 QUAIL ROOST DR",
"city": "WESTON",
"state": "FL",
"postal_code": "333271450",
"telephone_number": "954-625-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 EXECUTIVE PARK DR",
"address_2": "SUITE 4",
"city": "WESTON",
"state": "FL",
"postal_code": "333313637",
"telephone_number": "954-321-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFFAH CASTILLO",
"first_name": "DIANA",
"middle_name": "MARCELA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 20963",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "NAFFAH",
"middle_name": "M.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.