Individual provider Active NPI

Maria C Castano-Rendon, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frisco, TX
National Provider Identifier
1770601536
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
21609 Issued in TX
Practice address
12398 FM 423
Suite 100
Frisco, TX 75034-4758
Phone
(972) 377-8844
Fax
(972) 377-8840
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 21609 TX Primary

Addresses

Primary practice location

12398 FM 423
Suite 100
Frisco, TX 75034-4758

Mailing address

12398 FM 423
Suite 100
Frisco, TX 75034-4758
Phone (972) 377-8844

Other identifiers 2

IdentifierTypeStateIssuer
178286402MedicaidTX
178286401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21609TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1770601536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344758",
            "telephone_number": "972-377-8844",
            "fax_number": "972-377-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344758",
            "telephone_number": "972-377-8844",
            "fax_number": "972-377-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANO-RENDON",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "21609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178286402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178286401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.