Individual provider Active NPI

Ruben Castaneda

  • Other Technician
  • Washington, DC
National Provider Identifier
1255429262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
2100 2ND St SW Ste 5314
US Coast Guard Comdt (CG-1122)
Washington, DC 20593-0002
Phone
(409) 723-6545
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Primary

Addresses

Primary practice location

2100 2ND St SW Ste 5314
US Coast Guard Comdt (CG-1122)
Washington, DC 20593-0002

Mailing address

2100 2ND St SW Ste 5314
US Coast Guard Comdt (CG-1122)
Washington, DC 20593-0002
Phone (409) 723-6545

Other identifiers 1

IdentifierTypeStateIssuer
247200000XOtherDCTECHNICIAN

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255429262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW STE 5314",
            "address_2": "US COAST GUARD COMDT (CG-1122)",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930002",
            "telephone_number": "409-723-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW STE 5314",
            "address_2": "US COAST GUARD COMDT (CG-1122)",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930002",
            "telephone_number": "409-723-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "RUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TECHNICIAN",
            "identifier": "247200000X",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.