Organization Active NPI

Wayne W Castle DDS PC

  • General Practice Dentistry
  • Longmont, CO
National Provider Identifier
1356343164
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
H-D-1-00630 Issued in CO
Legal business name
WAYNE W CASTLE DDS PC
Practice address
1361 Francis St
Ste 202
Longmont, CO 80501-2576
Phone
(303) 772-8020
Fax
(303) 772-1525
NPI assigned
Aug 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wayne William Castle, DDSNPI 1174749550
Title
President Owner
Phone
(303) 772-8020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X H-D-1-00630 CO Primary

Addresses

Primary practice location

1361 Francis St
Ste 202
Longmont, CO 80501-2576

Mailing address

1361 Francis St
Ste 202
Longmont, CO 80501-2576
Phone (303) 772-8020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356343164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS ST",
            "address_2": "STE 202",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012576",
            "telephone_number": "303-772-8020",
            "fax_number": "303-772-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS ST",
            "address_2": "STE 202",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012576",
            "telephone_number": "303-772-8020",
            "fax_number": "303-772-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE W CASTLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "303-772-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "H-D-1-00630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.