NPIMap

Organization Active NPI

Jay J Castle DDS PLLC

  • Dental Clinic/Center
  • Texarkana, TX
National Provider Identifier
1659858736
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
33979 Issued in TX
Legal business name
JAY J CASTLE DDS PLLC
Doing business as
Castle Family Dental
Practice address
3210 Richmond Rd
Texarkana, TX 75503-0702
Phone
(903) 832-3146
Fax
(903) 838-2579
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Jay Jeffery Castle, DDSNPI 1508396037
Title
Owner
Phone
(903) 824-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 33979 TX Primary

Addresses

Primary practice location

3210 Richmond Rd
Texarkana, TX 75503-0702

Mailing address

3210 Richmond Rd
Texarkana, TX 75503-0702
Phone (903) 832-3146

Other identifiers 2

IdentifierTypeStateIssuer
1508396037OtherNPI
1194868513OtherNPI

Other names 1

  • Castle Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3210 Richmond Rd
Texarkana, TX 75503
Phone (903) 832-3146

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1659858736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030702",
            "telephone_number": "903-832-3146",
            "fax_number": "903-838-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030702",
            "telephone_number": "903-832-3146",
            "fax_number": "903-838-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY J CASTLE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-824-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "33979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508396037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194868513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.