Individual provider Active NPI

Juan Manuel Castillo, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1750415410
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10418 Issued in TX
Practice address
1400 W Sam Houston Pkwy N Ste 140
Houston, TX 77043-3195
Phone
(713) 460-9700
Fax
(713) 460-9702
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10418 TX Primary

Addresses

Primary practice location

1400 W Sam Houston Pkwy N Ste 140
Houston, TX 77043-3195

Mailing address

14114 Vista Mar Cir
Houston, TX 77095-3452
Phone (832) 477-5113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000625 TX Practitioner - Chiropractic 0648345801 Reassigns benefits to 1 organization
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10418TXMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Castillo Chiropractic CurrentSince Mar 1, 2019 Accepting new patients
Chiropractic Health and Wellness Center Chiropractor PastSince Jan 1, 1994 Accepting new patients

Locations

1400 W Sam Houston Pkwy N
Ste 140
Houston, TX 77043
Phone (713) 460-9700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1750415410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 VISTA MAR CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953452",
            "telephone_number": "832-477-5113",
            "fax_number": "713-460-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W SAM HOUSTON PKWY N STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433195",
            "telephone_number": "713-460-9700",
            "fax_number": "713-460-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.