Mario J Castellanos Jr DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60364 Issued in CA

Legal business name

MARIO J CASTELLANOS JR DDS INC

Practice address

2063 E Florida Ave
Hemet, CA 92544-4730

Phone

(951) 765-2040

Fax

(951) 765-2044

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mario J Castellanos, DDSNPI 1164402756

Title

Dentist

Phone

(951) 765-2040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Javier Castellanos, DDS

  • General Practice Dentistry
  • Hemet, CA
  • NPI 1164402756
  NPD (past) Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1629528542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444730",
            "telephone_number": "951-765-2040",
            "fax_number": "951-765-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444730",
            "telephone_number": "951-765-2040",
            "fax_number": "951-765-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J CASTELLANOS JR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-765-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "60364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manor Care of Hemet Ca LLC
• Gina Marbury
• Alan Mare, M.D.
• Galeh Harout Margossian, DO
• Lisa Mariano-Grise
• Mario J Catellanos D.D.S PC
• Mark a Ramirez MD
• Mark a. Conover DDS Ms Apc
• Eve Karen Markovich
• Jacqueline Markussen, LMFT

• Dental Clinic/Center in Hemet, CA
• Providers in Hemet, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.