Michael Francis Castillo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108201 Issued in CA

Practice address

10842 Bear Hollow Dr Ste 101
Rancho Cordova, CA 95670-6475

Phone

(916) 885-4927

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castillo Dental Corporation

  • Dentist
  • Rancho Cordova, CA
  • NPI 1841987575
  NPD Authorized official
• B D Buehler Dental Corporation

  • Dentist
  • El Dorado Hills, CA
  • NPI 1851510341
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1750005872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 BEAR HOLLOW DR STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 BEAR HOLLOW DR STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706475",
            "telephone_number": "916-885-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casa Coloma Holdings, LLC
• Mary Casanada
• Thelma Renee Cash, RN
• Castillo Dental Corporation
• Celine Therese Castillo, BA
• Oshae Castleberry
• Samantha Cavileer
• Adrian Cazares
• Stephanie Cecil-Spaulding
• Gary M. Cederlind, DO

• Dentist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.