Active NPI
Rosario Castillo Lincoln, DDS
- General Practice Dentistry
- National City, CA
National Provider Identifier
1629253042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56572
- Practice address
- 340 E 8TH St
Suite a
National City, CA 91950-2359 - Phone
- (619) 477-7770
- Fax
- (619) 477-7775
- NPI assigned
- Jan 3, 2008
- Last updated
- Nov 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56572 | CA | Primary |
Addresses
Primary practice location
340 E 8TH St
Suite a
National City, CA 91950-2359
Mailing address
11327 Linares St
San Diego, CA 92129-1021
Phone (858) 672-1333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318002437 | CA | Order and Referring Only - Oral Surgery | 1254658834 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56572 | CA | MD | Pharmacist |
Interoperability endpoints
- rosario.lincoln@nh.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385683200000",
"number": "1629253042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11327 LINARES ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921291021",
"telephone_number": "858-672-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 8TH ST",
"address_2": "SUITE A",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502359",
"telephone_number": "619-477-7770",
"fax_number": "619-477-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "ROSARIO",
"middle_name": "CASTILLO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2013-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; 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.