Active NPI
Susan Ann Castillo, D.C.
- Chiropractor
- Kent, WA
National Provider Identifier
1447316559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002408
- Practice address
- 203 E Gowe St
Kent, WA 98032-5919 - Phone
- (253) 854-7322
- Fax
- (253) 854-4761
- NPI assigned
- Dec 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002408 | WA | Primary |
Addresses
Primary practice location
203 E Gowe St
Kent, WA 98032-5919
Mailing address
203 E Gowe St
Kent, WA 98032-5919
Phone (253) 854-7322
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447316559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325919",
"telephone_number": "253-854-7322",
"fax_number": "253-854-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325919",
"telephone_number": "253-854-7322",
"fax_number": "253-854-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "SUSAN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.