Individual provider Active NPI

Christopher James Castillo Love, DMD

  • Dentist
  • Sierra Vista, AZ
National Provider Identifier
1609567767
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D011769. Issued in AZ
Practice address
400 N Hwy 90 Byp Ste C2
Sierra Vista, AZ 85635-2293
Phone
(520) 459-2200
NPI assigned
May 18, 2023
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011769. AZ Primary

Addresses

Primary practice location

400 N Hwy 90 Byp Ste C2
Sierra Vista, AZ 85635-2293

Mailing address

400 N Hwy 90 Byp Ste C2
Sierra Vista, AZ 85635-2293
Phone (520) 459-2200

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
D011769.AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Dental Professionals, P.C. CurrentSince May 21, 2023 Accepting new patients

Locations

400 N Highway 90 Byp
Ste C2
Sierra Vista, AZ 85635
Phone (520) 459-2200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1609567767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N HWY 90 BYP STE C2",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352293",
            "telephone_number": "520-459-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HWY 90 BYP STE C2",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352293",
            "telephone_number": "520-459-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES CASTILLO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011769.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.