Active NPI
Christine Tracy G. Castro, DMD, Inc.
- General Practice Dentistry
- Temecula, CA
National Provider Identifier
1285892711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.