Individual provider Active NPI

Nicholas Andres Castellanos

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1497228621
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23886 Issued in FL
Practice address
9101 SW 24TH St Ste 102
Miami, FL 33165-2083
Phone
(305) 850-6687
Fax
(786) 677-8963
NPI assigned
Jan 10, 2019
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23886 FL Primary

Addresses

Primary practice location

9101 SW 24TH St Ste 102
Miami, FL 33165-2083

Mailing address

9101 SW 24TH St Ste 102
Miami, FL 33165-2083
Phone (305) 850-6687

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
DN23886FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Dental Implant Centers LLC CurrentSince May 7, 2024 Accepting new patients

Locations

9101 SW 24th St
Ste 102
Miami, FL 33165
Phone (305) 850-6687

Organizations & group practices 1

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1497228621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 SW 24TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652083",
            "telephone_number": "305-850-6687",
            "fax_number": "786-677-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 SW 24TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652083",
            "telephone_number": "305-850-6687",
            "fax_number": "786-677-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "NICHOLAS",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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