Individual provider Active NPI

Marco Antonio Castro, D.C.

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1437154119
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9923 Issued in TX
Practice address
9400 Carnegie Ave
Unit B
El Paso, TX 79925-1422
Phone
(915) 500-5741
Fax
(915) 581-6409
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9923 TX Primary

Addresses

Primary practice location

9400 Carnegie Ave
Unit B
El Paso, TX 79925-1422

Mailing address

9400 Carnegie Ave
Unit B
El Paso, TX 79925-1422
Phone (915) 500-5741

Other identifiers 1

IdentifierTypeStateIssuer
1714404-01MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9923TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1437154119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 CARNEGIE AVE",
            "address_2": "UNIT B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251422",
            "telephone_number": "915-500-5741",
            "fax_number": "915-581-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 CARNEGIE AVE",
            "address_2": "UNIT B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251422",
            "telephone_number": "915-500-5741",
            "fax_number": "915-581-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714404-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.