Castleberry Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CASTLEBERRY DENTAL LLC

Practice address

382 State St
Ellsworth, ME 04605-3330

Phone

(207) 374-5538

Fax

(207) 613-2424

NPI assigned

May 4, 2016

Last updated

Feb 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Travis C Castleberry, DMDNPI 1003179011

Title

Owner

Phone

(207) 374-5538

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 2

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.

• Travis Castleberry, DMD

  • General Practice Dentistry
  • Blue Hill, ME
  • NPI 1003179011
  NPD Authorized official
• Walter Ross Greenlaw Jr., D.M.D.

  • General Practice Dentistry
  • Blue Hill, ME
  • NPI 1891916821
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1376999730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050029",
            "telephone_number": "207-374-5538",
            "fax_number": "207-613-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 STATE ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053330",
            "telephone_number": "207-374-5538",
            "fax_number": "207-613-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEBERRY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-374-5538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands of Maine (Caring Hands of Maine Dental Center)
• Duane Carr, PHARMD
• Lynn Rae Carroll, LCPC
• Sharon Carroll, LCSW, CCS
• Amy Louise Case, PA
• Cec, LLC
• Cesc, LLC
• Lori Jean Chamot, LSW
• Leeann Marie Chatto, CNM
• Emily Marie Cheevers

• General Practice Dentistry in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.