Organization Active NPI

What If I Am a Surrogate of the Organization

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1255249470
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WHAT IF I AM A SURROGATE OF THE ORGANIZATION
Practice address
334 E Lake St Ste 104
Minneapolis, MN 55408-2485
Phone
(612) 910-1131
NPI assigned
Aug 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Authorized official

Name
Ronny Rodriguez Castillo, DDS
Title
Owner
Phone
(406) 539-4297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

334 E Lake St Ste 104
Minneapolis, MN 55408-2485

Mailing address

334 E Lake St Ste 104
Minneapolis, MN 55408-2485
Phone (612) 910-1131

NPI Registry JSON

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1255249470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E LAKE ST STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082485",
            "telephone_number": "612-910-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E LAKE ST STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082485",
            "telephone_number": "612-910-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHAT IF I AM A SURROGATE OF THE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CASTILLO",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-539-4297",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.