Individual provider Active NPI

Giovanni Castro, DMD

  • General Practice Dentistry
  • Jackson, NC
National Provider Identifier
1467198028
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13265 Issued in NC
Practice address
9409 NC Highway 305
Jackson, NC 27845-9679
Phone
(252) 536-5920
Fax
(252) 519-0154
NPI assigned
May 6, 2022
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 13265 NC
General Practice Dentistry 1223G0001X 13265 NC Primary

Addresses

Primary practice location

9409 NC Highway 305
Jackson, NC 27845-9679

Mailing address

PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5844

Other practice location 1

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001876 NC Practitioner - Dentist 8729460548 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Dec 12, 2023 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Advance Community Health, Inc CurrentSince Dec 12, 2023 Accepting new patients
Rural Health Group, Inc. General Practice CurrentSince Apr 14, 2025 Accepting new patients
Rural Health Group, Inc. General Practice CurrentSince Apr 14, 2025 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

100 W Parkview Dr
Henderson, NC 27536
Phone (252) 438-3549

1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934

1011 Rock Quarry Rd
Raleigh, NC 27610

919 Jr High School Rd
Scotland Neck, NC 27874
Phone (252) 826-3143

Organizations & group practices 6

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1467198028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5844",
            "fax_number": "252-519-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 NC HIGHWAY 305",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278459679",
            "telephone_number": "252-536-5920",
            "fax_number": "252-519-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "13265",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NC

Sources for this page

Verify at the official NPI Registry.