Organization Active NPI

Castlehill Dental PC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1386868990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CASTLEHILL DENTAL PC
Practice address
735 Castle Hill Avenue
Bronx, NY 10473-1329
Phone
(718) 824-1122
Fax
(718) 931-0112
NPI assigned
Apr 13, 2007
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
Alban C Burke, DDS
Title
Ceo Director
Phone
(718) 824-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

735 Castle Hill Avenue
Bronx, NY 10473-1329

Mailing address

735 Castle Hill Avenue
Bronx, NY 10473-1329
Phone (718) 824-1122

Other identifiers 1

IdentifierTypeStateIssuer
02010126MedicaidNY

Other names 1

  • Castlehill Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

735 Castle Hill Ave
Bronx, NY 10473
Phone (718) 824-1122

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386868990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CASTLE HILL AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731329",
            "telephone_number": "718-824-1122",
            "fax_number": "718-931-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CASTLE HILL AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731329",
            "telephone_number": "718-824-1122",
            "fax_number": "718-931-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEHILL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ALBAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO DIRECTOR",
        "authorized_official_telephone_number": "718-824-1122",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02010126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castlehill Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

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.