NPIMap

Organization Active NPI

Castle 1St Dental Care PA

Doing business as Bright Now Dental

  • General Practice Dentistry
  • Melbourne, FL
National Provider Identifier
1700958956
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN8678 Issued in FL
Legal business name
CASTLE 1ST DENTAL CARE PA
Doing business as
Bright Now Dental
Practice address
1770 N. Wickham Rd
Melbourne, FL 32935
Phone
(321) 253-0606
Fax
(321) 253-9848
NPI assigned
Nov 14, 2006
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Mrs. Aracelly Montenegro
Title
Senior Manager
Phone
(714) 578-6358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 11747 FL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN8678 FL Primary

Addresses

Primary practice location

1770 N. Wickham Rd
Melbourne, FL 32935

Mailing address

1770 N. Wickham Rd
Melbourne, FL 32935
Phone (321) 253-9792

Other names 1

  • Bright Now Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240812001169 FL Part B Supplier - Clinic/Group Practice 5597203372 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

3990 Clark Rd
Sarasota, FL 34233
Phone (941) 921-7055

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1700958956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N. WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-253-9792",
            "fax_number": "321-253-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N. WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-253-0606",
            "fax_number": "321-253-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE 1ST DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "MONTENEGRO",
        "authorized_official_first_name": "ARACELLY",
        "authorized_official_title_or_position": "SENIOR MANAGER",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11747",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.