Individual provider Active NPI

Diana Marcela Naffah Castillo, D.D.S.

  • Dentist
  • Weston, FL
National Provider Identifier
1184934473
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 20963 Issued in FL
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

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
49609CAMDDentist
DN 20963FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abelardo Daya, DMD, PA PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.