Individual provider Active NPI

Guillermo Christian Castro, DMD

  • Pediatric Dentistry
  • Waianae, HI
National Provider Identifier
1679259642
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN123780 Issued in GA
Practice address
86-260 Farrington Highway
Waianae, HI 96792-0241
Phone
(808) 697-3300
Fax
(808) 697-3687
NPI assigned
Jun 26, 2023
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN123780 GA Primary

Addresses

Primary practice location

86-260 Farrington Highway
Waianae, HI 96792-0241

Mailing address

86-260 Farrington Highway
Waianae, HI 96792
Phone (808) 697-3300

Other practice location 1

135 Cedar St
Richmond Hill, GA 31324-3745
Phone (912) 715-7873

Other practice location 2

85-175 Ferrington Highway A334
Waianae, HI 96792
Phone (912) 844-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004192 HI Practitioner - Dentist 6002357993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN123780GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc Single Specialty Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Aug 15, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Aug 15, 2024 Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: guillermo.castro.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 3

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1679259642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HIGHWAY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "96792",
            "telephone_number": "808-697-3300",
            "fax_number": "808-697-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HIGHWAY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967920241",
            "telephone_number": "808-697-3300",
            "fax_number": "808-697-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243745",
            "country_code": "US",
            "telephone_number": "912-715-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85-175 Ferrington Highway A334",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "96792",
            "country_code": "US",
            "telephone_number": "912-844-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "GUILLERMO",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN123780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.