Castellanos DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CASTELLANOS DDS INC

Practice address

9725 Sierra Ave
Fontana, CA 92335-6716

Phone

(909) 822-6200

Fax

(909) 822-6222

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario Javier Castellanos Jr., DDSNPI 1285927962

Title

Owner

Phone

(909) 822-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Javier Castellanos Jr., DDS

  • Dentist
  • Fontana, CA
  • NPI 1285927962
  NPD (past) Authorized official
• Marco Javier Castellanos, DDS

  • Dentist
  • Fontana, CA
  • NPI 1396083465
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1477181410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356716",
            "telephone_number": "909-822-6200",
            "fax_number": "909-822-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356716",
            "telephone_number": "909-822-6200",
            "fax_number": "909-822-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTELLANOS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-822-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Carter
• Myrna Veronica Casillas-Harris
• Janna Maria Casillas, PSYD
• Sylvain Casimir, PHARM.D.
• Milagros De la Rosa Castaneda, DMD
• Galilea Sophia Castellanos
• Marco Javier Castellanos, DDS
• Mario Javier Castellanos Jr., DDS
• Ernest Castigadorgayomali, FNP-C
• Ashley Vanessa Castillo, M.S., CCC-SLP

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.