Active NPI
Luis Del Castillo, D.M.D.
- Prosthodontics
- Boston, MA
National Provider Identifier
1801018411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN1855305
- Practice address
- 392 Commonwealth Ave
Mezzanine Level
Boston, MA 02215-2801 - Phone
- (617) 262-0156
- Fax
- (617) 424-6265
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN1855305 | MA | Primary |
Addresses
Primary practice location
392 Commonwealth Ave
Mezzanine Level
Boston, MA 02215-2801
Mailing address
7 Conant Rd Apt 46
Winchester, MA 01890-1163
Phone (781) 369-1546
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855305 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1801018411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CONANT RD APT 46",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901163",
"telephone_number": "781-369-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 COMMONWEALTH AVE",
"address_2": "MEZZANINE LEVEL",
"city": "BOSTON",
"state": "MA",
"postal_code": "022152801",
"telephone_number": "617-262-0156",
"fax_number": "617-424-6265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL CASTILLO",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "DN1855305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.