Individual provider Active NPI

Laura Castro, DMD

  • General Practice Dentistry
  • Randolph, NJ
National Provider Identifier
1336278100
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01990100 Issued in NJ
Practice address
924 Route 10 W
Charmoy Dental
Randolph, NJ 07869-1932
Phone
(973) 584-0008
NPI assigned
Mar 5, 2007
Last updated
May 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01990100 NJ Primary

Addresses

Primary practice location

924 Route 10 W
Charmoy Dental
Randolph, NJ 07869-1932

Mailing address

924 Route 10 W
Charmoy Dental
Randolph, NJ 07869-1932
Phone (973) 584-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150819007233 NJ Order and Referring Only - DentistPractitioner - Dentist 2769797877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01990100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charmoy Dental Associates General Practice PastSince Oct 15, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1336278100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 ROUTE 10 W",
            "address_2": "CHARMOY DENTAL",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691932",
            "telephone_number": "973-584-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 ROUTE 10 W",
            "address_2": "CHARMOY DENTAL",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691932",
            "telephone_number": "973-584-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01990100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.