Mario J Castellanos DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33258 Issued in CA

Legal business name

MARIO J CASTELLANOS DDS

Practice address

9113 Foothill Blvd Ste 210
Rancho Cucamonga, CA 91730-3452

Phone

(909) 822-6200

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Mario Javier Castellanos, DDS

Title

Owner

Phone

(909) 822-6200

Specialties & licenses 1

Addresses

Tax ID family

Mario J Catellanos DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mario J Catellanos D.D.S PC

  • Dentist
  • Hemet, CA
  • NPI 1174784789
  NPD tax ID
• Mario J Catellanos D.D.S. PC

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1720264815
  NPD tax ID

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1205375128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 FOOTHILL BLVD STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303452",
            "telephone_number": "909-822-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 FOOTHILL BLVD STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303452",
            "telephone_number": "909-822-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J CASTELLANOS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-822-6200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Maria
• Ed Carlo Hernandez Mariano
• Maricel Domiquel
• Jenny Marin Le
• Crystal Denise Marin
• Mark a Welch DO, Inc
• Arlene Markham
• Dulcemaria Marquez
• Nayeli Alysia Marquez
• Yanci Y Marquez

• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.