Castor Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037847 Issued in PA

Legal business name

CASTOR DENTAL CARE LLC

Practice address

7258 Castor Ave
Philadelphia, PA 19149-1109

Phone

(215) 728-1144

Fax

(215) 728-1363

NPI assigned

Jun 11, 2011

Last updated

Jun 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rakesh Patel

Title

Practice Manager

Phone

(215) 728-1144

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Amanda Ying Gu, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1710732441
  NPD (past)
• Joseph William Mikolajewski, DMD

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1639345358
  NPD (past)

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307750400000",
    "number": "1710272349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7258 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491109",
            "telephone_number": "215-728-1144",
            "fax_number": "215-728-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7258 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491109",
            "telephone_number": "215-728-1144",
            "fax_number": "215-728-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTOR DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "215-728-1144"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Castillo, LAT, ATC
• Mario Claro Ramones Castillo, MSN-CRNA
• Patricia Cecilia Castillo, APN
• Samira Castillo
• Kara Castle
• Castor Eye Care Center, LLC (Community Eye Care Center)
• Castor Eye Care Center, LLC
• Castor Pediatrics PC
• Castor Pharmacy & Surgical Supplies LLC (Castor Pharmacy & Surgical Supplies)
• Castor Primary Care LLC

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; 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.