Ingrid C Castillo, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16293 Issued in FL

Practice address

1390 Coral Ridge Dr
Coral Springs, FL 33071-5434

Phone

(954) 752-7874

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castillo Roman Dental Inc

  • General Practice Dentistry
  • Coral Springs, FL
  • NPI 1427215243
  NPD (past) Authorized official
• TDC Lakeview, LLC

  • General Practice Dentistry
  • Coral Springs, FL
  • NPI 1518441591
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689747123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 PINE CIR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672924",
            "telephone_number": "954-340-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715434",
            "telephone_number": "954-752-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "INGRID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyde Vanessa Casimir
• Lys Castellanos
• Albert Francis Castellon, M.D.
• Castillo Roman Dental Inc
• Elzebir Castillo, DDS
• Jannise Castillo
• Julia Marie Castillo
• Luis M Castillo, LMT
• Victoria Castillo
• Eillen Castineira Suarez

• General Practice Dentistry in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.