Active NPI
Jay Castle, DDS
- Dentist
- Texarkana, TX
National Provider Identifier
1508396037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33979
- Practice address
- 3210 Richmond Rd
Texarkana, TX 75503 - Phone
- (903) 832-3146
- Fax
- (903) 838-2579
- NPI assigned
- Jun 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4175 | AR | |
| Dentist | 122300000X | 33979 | TX | Primary |
Addresses
Primary practice location
3210 Richmond Rd
Texarkana, TX 75503
Mailing address
3210 Richmond Rd
Texarkana, TX 75503-0702
Phone (903) 832-3146
Other practice location 1
1300 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 524-6441
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33979 | TX | MD | Counseling Psychologist |
| 4175 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon L Chavez DDS PLLC | Past | Accepting new patients | |
| Jay J Castle DDS PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Texarkana, TX
- NPI 1659858736
-
- Dental Clinic/Center
- Siloam Springs, AR
- NPI 1417516550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1508396037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030702",
"telephone_number": "903-832-3146",
"fax_number": "903-838-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "75503",
"telephone_number": "903-832-3146",
"fax_number": "903-838-2579"
}
],
"practiceLocations": [
{
"address_1": "1300 N Progress Ave",
"address_purpose": "LOCATION",
"city": "Siloam Springs",
"state": "AR",
"postal_code": "72761",
"country_code": "US",
"telephone_number": "479-524-6441",
"fax_number": "479-524-6440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTLE",
"first_name": "JAY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4175",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.