Individual provider Active NPI

Roberto Castellini, D.D.S.

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1497291108
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 22383 Issued in FL
Practice address
7350 Sandlake Commons Blvd Ste 1121
Orlando, FL 32819-8031
Phone
(407) 351-2245
NPI assigned
Jan 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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 DN 22383 FL Primary

Addresses

Primary practice location

7350 Sandlake Commons Blvd Ste 1121
Orlando, FL 32819-8031

Mailing address

7350 Sandlake Commons Blvd Ste 1121
Orlando, FL 32819-8031

Other identifiers 1

IdentifierTypeStateIssuer
1497291108MedicaidFL

Other names 1

  • Dr. Roberto J Castellini Other name

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
DN 22383FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Medplex Dental General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1497291108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 SANDLAKE COMMONS BLVD STE 1121",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198031",
            "fax_number": "407-351-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SANDLAKE COMMONS BLVD STE 1121",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198031",
            "telephone_number": "407-351-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLINI",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497291108",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "CASTELLINI",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.