Active NPI
Gilberto Javier Castillo, DDS
- General Practice Dentistry
- Laredo, TX
National Provider Identifier
1306139514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30015
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180817000865 | TX | Order and Referring Only - Dentist | 4789933151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30015 | TX | MD | General Practice Dentistry |
| F-26367 | TX | MD | Prosthodontist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.