Jewell Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

8092 Issued in CO

Legal business name

JEWELL DENTAL CARE PLLC

Practice address

6565 W Jewell Ave
Suite 9
Lakewood, CO 80232-7187

Phone

(303) 922-1103

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Steven Anthony Castillo

Title

Managing Member

Phone

(303) 922-1103

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1700336443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE",
            "address_2": "SUITE 9",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327187",
            "telephone_number": "303-922-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W JEWELL AVE",
            "address_2": "SUITE 9",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327187",
            "telephone_number": "303-922-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-922-1103",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29136831",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Jernigan
• Sarah Jane Rachel Jess, MD
• Jessica Disbrow PLLC
• Jessica Stevens DDS Professional LLC
• Courtney Jetton
• Jewell Estates
• Jill Stedronsky Ms, Otr, LLC
• Aimee Jimenez
• Brittany Arielle Jimenez
• Carolyn Jimenez, LPN

• Dentist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.