Jeannifer P Castaneda-Tan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

LNO5735 Issued in AL

Practice address

751 Pleasant Row NW
Huntsville, AL 35816-2537

Phone

(256) 533-6311

NPI assigned

Mar 23, 2010

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1558685339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18488",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048488",
            "telephone_number": "256-534-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PLEASANT ROW NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162537",
            "telephone_number": "256-533-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA-TAN",
        "first_name": "JEANNIFER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "LNO5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Henry Cash, M.D.
• Joshua M Cash, DPT
• Nathan Cash
• Stephanie Cashin, LICSW
• Andrea Faye Casserilla, CRNA
• Andrea Casteel, CRNP
• Tonya Casteel, RN
• Castellanos Voice, Airway, & Swallowing Center
• Carlo Golez Castillo, D.O.
• Jasper V Castillo III, M.D.

• Dentist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.