Organization Active NPI

Christine Tracy G. Castro, DMD, Inc.

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1285892711
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43121 Issued in CA
Legal business name
CHRISTINE TRACY G. CASTRO, DMD, INC.
Practice address
27365 Jefferson Ave
Suite L & M
Temecula, CA 92590-5607
Phone
(951) 719-1199
Fax
(951) 719-3711
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Christine Gonzales Castro, DMD
Title
President
Phone
(951) 719-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43121 CA Primary

Addresses

Primary practice location

27365 Jefferson Ave
Suite L & M
Temecula, CA 92590-5607

Mailing address

27365 Jefferson Ave
Suite L & M
Temecula, CA 92590-5607
Phone (951) 719-1199

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1285892711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27365 JEFFERSON AVE",
            "address_2": "SUITE L & M",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905607",
            "telephone_number": "951-719-1199",
            "fax_number": "951-719-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27365 JEFFERSON AVE",
            "address_2": "SUITE L & M",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905607",
            "telephone_number": "951-719-1199",
            "fax_number": "951-719-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE TRACY G. CASTRO, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "GONZALES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-719-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.