Organization Active NPI

Mark G. Castor

Doing business as Castor Dental Group

  • Dental Clinic/Center
  • Cary, NC
National Provider Identifier
1255519625
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARK G. CASTOR
Doing business as
Castor Dental Group
Practice address
140 Preston Executive Drive
Suite 200
Cary, NC 27513
Phone
(919) 467-6111
Fax
(919) 380-0088
NPI assigned
Feb 7, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Sheila Hawkinson
Title
Office Manager
Phone
(919) 467-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

140 Preston Executive Drive
Suite 200
Cary, NC 27513

Mailing address

140 Preston Executive Drive
Suite 200
Cary, NC 27513
Phone (919) 467-6111

Other identifiers 1

IdentifierTypeStateIssuer
8991437MedicaidNC

Other names 1

  • Castor Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

140 Preston Executive Dr
Ste 200
Cary, NC 27513
Phone (919) 467-6111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1255519625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PRESTON EXECUTIVE DRIVE",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-467-6111",
            "fax_number": "919-380-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PRESTON EXECUTIVE DRIVE",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-467-6111",
            "fax_number": "919-380-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. CASTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "HAWKINSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-467-6111"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991437",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castor Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.