Mark G Castor DMD LL PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6103 Issued in NC

Legal business name

MARK G CASTOR DMD LL PA

Practice address

153 Brady Street Ext
Ramseur, NC 27316-8701

Phone

(336) 824-8300

Fax

(336) 824-6556

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 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

Mark Castor

Title

President

Phone

(336) 824-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Castor Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Castor Dental Group

  • General Practice Dentistry
  • Ramseur, NC
  • NPI 1518398809
  NPD tax ID

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1720356173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BRADY STREET EXT",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168701",
            "telephone_number": "336-824-8300",
            "fax_number": "336-824-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BRADY STREET EXT",
            "city": "RAMSEUR",
            "state": "NC",
            "postal_code": "273168701",
            "telephone_number": "336-824-8300",
            "fax_number": "336-824-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G CASTOR DMD LL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-824-8300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991437",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Whole Health and Wellness Center
• Jagjit S Sandhu MD (Eastern Randolph Medical Center)
• Jennifer K. Hardesty, DDS, PA (Ramseur Family Dentistry)
• Kerr Drug Inc (Kerr Drug)
• Maria Koenig, 4183
• Jessica Martin
• Teresa Meadows, LCMHC
• Multi-Therapeutic Services, Inc.
• Multi-Therapeutic Services, Inc.
• Multi-Therapeutic Services, Inc.

• Dental Clinic/Center in Ramseur, NC
• Providers in Ramseur, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.