Individual provider Active NPI

David Bradley Casteel, DDS

  • Dentist
  • Madison, WI
National Provider Identifier
1588155683
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001812 Issued in WI
Practice address
5402 Mineral Point Rd
Madison, WI 53705-4659
Phone
(608) 202-3128
NPI assigned
May 23, 2018
Last updated
May 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001812 WI Primary

Addresses

Primary practice location

5402 Mineral Point Rd
Madison, WI 53705-4659

Mailing address

12904 E 57TH Ter
Kansas City, MO 64133-3617
Phone (262) 960-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214002554 WI Order and Referring Only - DentistPractitioner - Dentist 1456696715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001812WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1588155683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12904 E 57TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641333617",
            "telephone_number": "262-960-5601",
            "fax_number": "262-960-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054659",
            "telephone_number": "608-202-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTEEL",
        "first_name": "DAVID",
        "middle_name": "BRADLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.