Guillermo Christian Castro, DMD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Waianae, HI
NPI 1679259642 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1679259642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 86-260 Farrington Highway
Waianae, HI 96792-0241 - Phone
- (808) 697-3300
- Fax
- (808) 697-3687
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240918004192 | HI | Practitioner - Dentist | 6002357993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Current | Accepting new patients |
Locations
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
Interoperability endpoints
- guillermo.castro.p1@direct.wcchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
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
85-175 Ferrington Highway A334
Waianae, HI 96792
Phone (912) 844-2200
Other providers in Waianae, HI
- Caregivers of Hawaii
- Caring Options LLC
- Nicole Carlson
- Carolina D. Davide, M.D. Inc
- Delano Carroll Jr.
- Ashley Nicole Aquino Catapang
- Stefanie K. Y. Chang-Hiu
- Martha Halaulani-Kauhi Chang
- Sandy Chang
- Derrick M.Y. Chee
All providers in Waianae, HI · Student in an Organized Health Care Education/Training Program in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.