Paola V Castillo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027737 Issued in OH

Practice address

9090 Daniels Pkwy
Fort Myers, FL 33912-1813

Phone

(239) 364-5181

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Springdale Modern Dentistry, PC, Inc.

  • Dentist
  • Springdale, OH
  • NPI 1518428374
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1346979903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 WALDEN RUN DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138148",
            "telephone_number": "239-994-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 DANIELS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121813",
            "telephone_number": "239-364-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7925 Crossings Of Beckett Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450695811",
            "country_code": "US",
            "telephone_number": "513-828-6314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PAOLA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027737",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "C234-678-95-647-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamury Castellanos
• Olivia Catherine Castellone, PA-C
• Tara Lynne Casten, DNP, FNP-BC
• Gladys Castillo-Hernandez
• Jairo Abel Castillo, LMHC
• Castle Comfort Home Care LLC
• Castle Comfort Homecare LLC
• Jennifer A Castleberry, RN
• Edilgelys Castro Hernandez
• Ines Castro, LMT

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.

Verify at the official NPI Registry.