Maureen Gonta Castellana, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

043902 Issued in NY

Practice address

100 W Market St
Suite 202
Corning, NY 14830-2520

Phone

(607) 962-8520

Fax

(607) 962-0115

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hyun Shik Choi DDS PLLC

  dba Safari Smiles

  • Pediatric Dentistry
  • Corning, NY
  • NPI 1336632116
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548385776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MARKET ST",
            "address_2": "SUITE 202",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302520",
            "telephone_number": "607-962-8520",
            "fax_number": "607-962-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MARKET ST",
            "address_2": "SUITE 202",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302520",
            "telephone_number": "607-962-8520",
            "fax_number": "607-962-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANA",
        "first_name": "MAUREEN",
        "middle_name": "GONTA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "043902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Carozza, DDS
• Paul J Carpenter, PHD
• Christopher Michael Carroll, D.O.
• Jessica Carswell, PHARM.D.
• Matthew James Casey, OD
• Julie Charlanow, CSAC
• Marissa S Chisdock, RPH
• Choice Physical Therapy, PLLC
• Jae W Chung, M.D.
• Michael Cilip Jr., MD

• Pediatric Dentistry in Corning, NY
• Providers in Corning, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.