David Castilla, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17975 Issued in OH

Practice address

5100 Belmont Ave
Suite #1
Youngstown, OH 44410

Phone

(330) 759-1771

NPI assigned

Sep 3, 2009

Sex

Male

Sole proprietor

Yes

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 OH

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

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.

• Mahoning Valley Dental Services

  • Dentist
  • Youngstown, OH
  • NPI 1073525689
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1790918969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BELMONT AVE",
            "address_2": "SUITE #1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44505",
            "telephone_number": "330-759-1771",
            "fax_number": "330-759-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BELMONT AVE",
            "address_2": "SUITE #1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44410",
            "telephone_number": "330-759-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "17975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lynn Casey, RN
• Madison Casey
• Tameeka Chauntell Casey
• Terrane Jamar Casey
• Matteo Castelluzzo, M.D.
• Raymundo Arat Castillejo, MD
• Breanna M Castro
• Catholic Charities Regional Agency
• Cheyenne Nicole Cato
• Cara Caudle

• Dentist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.