Luis Castillo Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

45659 Issued in CA

Legal business name

LUIS CASTILLO PROFESSIONAL DENTAL CORPORATION

Practice address

5359 N Fresno St Ste 110F
Fresno, CA 93710-6864

Phone

(559) 221-0302

Fax

(559) 221-0302

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Annette Castillo

Title

Secretary

Phone

(559) 221-0302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1700305802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 N FRESNO ST STE 110F",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 N FRESNO ST STE 110F",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106864",
            "telephone_number": "559-221-0302",
            "fax_number": "559-221-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5359 N Fresno St Ste 110F",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937106864",
            "country_code": "US",
            "telephone_number": "559-221-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUIS CASTILLO PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "559-221-0302"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Linda Luevanos
• Roel Valentino Luga, DDS
• Cynthia Lugo
• Jordan Lugo
• Jarod Lee Luhm
• Ashley Luis, MS, LMFT
• Maui Joyce Luis
• Elizabeth Lujan
• James Lujan, LCSW
• Joe M Lujan, MS PPS

• Dental Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.