Individual provider Active NPI

Kory M Castro, HAS

  • Hearing Instrument Specialist
  • Scottsdale, AZ
National Provider Identifier
1457608440
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADR6449 Issued in AZ
Practice address
10893 N Scottsdale Rd Ste 115
Scottsdale, AZ 85254-5279
Phone
(480) 534-7689
NPI assigned
Aug 8, 2012
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAS-P-10131231 OR
Hearing Instrument Specialist 237700000X HADR6449 AZ Primary

Addresses

Primary practice location

10893 N Scottsdale Rd Ste 115
Scottsdale, AZ 85254-5279

Mailing address

10869 N Scottsdale Rd Ste 103-147
Scottsdale, AZ 85254-5280
Phone (541) 490-4416

Other practice location 1

1989 Frontage Rd Ste D
Sierra Vista, AZ 85635-4698
Phone (520) 619-7956

Other practice location 2

7208 E Cave Creek Rd
Cave Creek, AZ 85331
Phone (480) 687-8111

Other practice location 3

1781 E State Route 69 Ste 65
Prescott, AZ 86301-5669
Phone (928) 227-2476

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HADR6449AZMDHearing Instrument Specialist
HAS-P-10131231ORMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Casmin Hearing Group, LLC Hearing Instrument Specialist CurrentSince Jun 2, 2024 Accepting new patients
KDKN Inc Past Accepting new patients

Locations

1781 E State Route 69
Ste 65
Prescott, AZ 86301
Phone (928) 227-2476

10869 N Scottsdale Rd
Ste 103147
Scottsdale, AZ 85254

10893 N Scottsdale Rd
Ste 115
Scottsdale, AZ 85254
Phone (480) 534-7689

1989 Frontage Rd
Ste D
Sierra Vista, AZ 85635
Phone (520) 226-9660

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1457608440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 N SCOTTSDALE RD STE 103-147",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545280",
            "telephone_number": "541-490-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10893 N SCOTTSDALE RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545279",
            "telephone_number": "480-534-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1989 Frontage Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856354698",
            "country_code": "US",
            "telephone_number": "520-619-7956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7208 E Cave Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Cave Creek",
            "state": "AZ",
            "postal_code": "85331",
            "country_code": "US",
            "telephone_number": "480-687-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1781 E State Route 69 Ste 65",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863015669",
            "country_code": "US",
            "telephone_number": "928-227-2476",
            "fax_number": "928-227-2513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KORY",
        "middle_name": "M",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-05-30",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-10131231",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HADR6449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.