Gisele Morais Castelo Branco, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018023072 Issued in MO

Practice address

3842 S Glenstone Ave
Springfield, MO 65804-4418

Phone

(417) 812-6948

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1427543834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W BRYANT APT A204",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658108308",
            "telephone_number": "626-318-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 S GLENSTONE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044418",
            "telephone_number": "417-812-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAIS CASTELO BRANCO",
        "first_name": "GISELE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018023072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Elizabeth Moore
• Taylor Danielle Moore
• Tiffany Lea Ann Moore
• Trevor Dean Moore, PA
• William C Moore, MD
• Meleah Ann Crockett Morales, D.O.
• Amy Moran, LPC
• Irene Carolyn Morelock, MS, LPC
• Laura Alejandra Moreno Garcia, M.D.
• Maya Mores

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.