Organization Active NPI

Comfort Care Dentistry PLLC

  • Dentist
  • Gurnee, IL
National Provider Identifier
1669165759
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMFORT CARE DENTISTRY PLLC
Practice address
3775 Grand Ave
Gurnee, IL 60031-2909
Phone
(847) 623-6300
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Dr. Leonardo Miguel Castillo, DMD
Title
Member/Manager
Phone
(562) 650-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3775 Grand Ave
Gurnee, IL 60031-2909

Mailing address

771 Cherry Creek Dr
Grayslake, IL 60030-3359

Other practice location 1

2964 Commerce Dr
Johnsburg, IL 60051-5409
Phone (815) 363-0103

National Provider Directory

National Provider Directory

Locations

100 Tristate International
Lincolnshire, IL 60069
Phone (833) 831-8163

Practitioners & affiliated clinicians

Practitioners 1

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1669165759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CHERRY CREEK DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312909",
            "telephone_number": "847-623-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2964 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Johnsburg",
            "state": "IL",
            "postal_code": "600515409",
            "country_code": "US",
            "telephone_number": "815-363-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT CARE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LEONARDO MIGUEL",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "562-650-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.