JCDC Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JCDC DENTAL INC

Doing business as

Westchase Premier Dental

Practice address

12229 W Linebaugh Ave
Tampa, FL 33626-1743

Phone

(813) 475-4528

Fax

(813) 475-4247

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By 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

Dr. David L Castellano, DMDNPI 1205990686

Title

Vice President/Dentist

Phone

(813) 475-4528

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Westchase Premier Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• David Louis Castellano, DMD

  • Dentist
  • Tampa, FL
  • NPI 1205990686
  NPD Authorized official

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1720733041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12229 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261743",
            "telephone_number": "813-475-4528",
            "fax_number": "813-475-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12229 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261743",
            "telephone_number": "813-475-4528",
            "fax_number": "813-475-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCDC DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "813-475-4528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA",
            "identifier": "DN9796",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA",
            "identifier": "DN15383",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA",
            "identifier": "DN22073",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "westchasedental@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12229 W Linebaugh Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336261743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Westchase Premier Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omeed Jazayeri-Moghaddas
• Seyedbehzad Jazayeri, MD
• Jazniya Curioca, MD, PA
• JC Healthcare & Associates
• JC Home Care Alf, LLC
• Jce Health, LLC
• Jce Health, LLC
• Jce Psychiatry & Functional Health Center
• JD Jordan Enterprises, Inc. (LifeSpring Home Care of Tampa)
• Debra Jeakle, ARNP

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.