Individual provider Active NPI

Nikki Jose Del Castillo, DDS

  • Dentist
  • Dededo, GU
National Provider Identifier
1356044309
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1058 Issued in GU
Practice address
505 Harmon Loop Rd Ste 300
Dededo, GU 96929-6519
Phone
(671) 637-9696
NPI assigned
Mar 27, 2023
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT-3186 HI
Dentist 122300000X D1058 GU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

505 Harmon Loop Rd Ste 300
Dededo, GU 96929-6519

Mailing address

113 W Daog CT
Dededo, GU 96929-5514
Phone (671) 686-5866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1058GUMDDentist
DT-3186HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
C V Alegria DDS Inc PastSince Apr 27, 2025 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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1356044309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W DAOG CT",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295514",
            "telephone_number": "671-686-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HARMON LOOP RD STE 300",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296519",
            "telephone_number": "671-637-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CASTILLO",
        "first_name": "NIKKI",
        "middle_name": "JOSE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-3186",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GU",
            "license": "D1058",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.