Alberto Ramon Castaneda, DDS FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2015042811 Issued in MO

Practice address

1229 SW State Route 7
Blue Springs, MO 64014-3539

Phone

(816) 897-7407

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1790888733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 PFLUMM RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662164110",
            "telephone_number": "913-268-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 SW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143539",
            "telephone_number": "816-897-7407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8137 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661122010",
            "country_code": "US",
            "telephone_number": "913-334-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "ALBERTO",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "DDS FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6796",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2015042811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carondelet Physician Services Inc.
• Carondelet Physician Services, Inc.
• Jamie Lyn Carver, LCSW
• Lacey Hillerman Case, NP
• Michelle Cass, APRN
• Baleigh Q Cates
• Cedar Creek Medical Group LLC
• Centerpoint Clinic of Blue Springs LLC
• Centerpoint Medical Specialists LLC
• Central Jackson County Fire Protection District

• General Practice Dentistry in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.