Individual provider Active NPI

William Nelson Castle, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1699892919
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 5412 Issued in TN
Practice address
79 N Cooper St
Memphis, TN 38104-2812
Phone
(901) 685-5008
Fax
(901) 685-5015
NPI assigned
Mar 23, 2007
Last updated
May 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS 5412 TN Primary

Addresses

Primary practice location

79 N Cooper St
Memphis, TN 38104-2812

Mailing address

79 N Cooper St
Memphis, TN 38104-2812
Phone (901) 685-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151116001253 TN Order and Referring Only - DentistPractitioner - Dentist 4486964871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 5412TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William N. Castle, DDS, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1699892919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 N COOPER ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042812",
            "telephone_number": "901-685-5008",
            "fax_number": "901-685-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N COOPER ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042812",
            "telephone_number": "901-685-5008",
            "fax_number": "901-685-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "WILLIAM",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 5412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.