Organization Active NPI

G S Castillo Dental Corp

  • Dentist
  • Upland, CA
National Provider Identifier
1770053126
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
G S CASTILLO DENTAL CORP
Practice address
600 N Mountain Ave Ste C105
Upland, CA 91786-4359
Phone
(909) 981-1300
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Miss Monica Mello
Title
Manager
Phone
(760) 244-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

600 N Mountain Ave Ste C105
Upland, CA 91786-4359

Mailing address

600 N Mountain Ave Ste C105
Upland, CA 91786-4359
Phone (909) 981-1300

National Provider Directory

National Provider Directory

Locations

600 N Mountain Ave
Ste C105
Upland, CA 91786
Phone (909) 981-1300

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1770053126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C105",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-981-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C105",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-981-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G S CASTILLO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "MELLO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-244-1111",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.