Active NPI
Carmen B Castillo, DDS
- Dentist
- Manhattan Beach, CA
National Provider Identifier
1255495354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35688
- Practice address
- 1201 Morningside Dr
Suite 110
Manhattan Beach, CA 90266 - Phone
- (310) 546-4559
- Fax
- (310) 546-2809
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35688 | CA | Primary |
Addresses
Primary practice location
1201 Morningside Dr
Suite 110
Manhattan Beach, CA 90266
Mailing address
1201 Morningside Dr
Suite 110
Manhattan Beach, CA 90266
Phone (310) 546-4559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528001400 | CA | Order and Referring Only - Dentist | 2163742453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255495354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MORNINGSIDE DR",
"address_2": "SUITE 110",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-546-4559",
"fax_number": "310-546-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MORNINGSIDE DR",
"address_2": "SUITE 110",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-546-4559",
"fax_number": "310-546-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "CARMEN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
- Robert W. Campbell, NCTMB
- Nazly Campos-Plata
- Capitol Medical Supply Inc (Capitol Medical)
- Carol Frey M.D., Inc
- Carol L. Meylan
- Lisbeth Angelica Castillo, BCBA
- Amanda Cavan
- Center for Behavior Analysis & Language Development
- Center for Behavior Analysis and Language Development
- Center for Restorative Procedures and Surgery Inc
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.