Individual provider Active NPI

Gilberto Javier Castillo, DDS

  • General Practice Dentistry
  • Laredo, TX
National Provider Identifier
1306139514
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30015 Issued in TX
Practice address
1515 Pappas St
Laredo, TX 78041-1705
Phone
(956) 718-6259
Fax
(956) 718-6294
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X F-26367 TX
General Practice Dentistry 1223G0001X 30015 TX Primary

Addresses

Primary practice location

1515 Pappas St
Laredo, TX 78041-1705

Mailing address

PO Box 3397
Laredo, TX 78044-3397
Phone (956) 718-6259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817000865 TX Order and Referring Only - DentistPractitioner - Dentist 4789933151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30015TXMDGeneral Practice Dentistry
F-26367TXMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1306139514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780443397",
            "telephone_number": "956-718-6259",
            "fax_number": "956-718-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-718-6259",
            "fax_number": "956-718-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "GILBERTO",
        "middle_name": "JAVIER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "F-26367",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.