Individual provider Active NPI

Evan Corey Castile, DDS

  • Dentist
  • Shelby TWP, MI
National Provider Identifier
1801448527
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600209 Issued in MI
Practice address
8152 25 Mile Rd Ste C
Shelby TWP, MI 48316-1904
Phone
(586) 992-9222
NPI assigned
Jul 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901600209 MI
Dentist 122300000X 2901600209 MI Primary

Addresses

Primary practice location

8152 25 Mile Rd Ste C
Shelby TWP, MI 48316-1904

Mailing address

8152 25 Mile Rd Ste C
Shelby TWP, MI 48316-1904
Phone (586) 747-2151

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
2901600209MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Castile Dental Group PLLC Current Accepting new patients
42 North Dental Care of Michigan, PLLC PastSince Mar 27, 2022 Accepting new patients
Great Lakes Family Dental Group Dexter, PC General Practice Past Accepting new patients

Locations

8152 25 Mile Rd
Ste C
Shelby Township, MI 48316
Phone (586) 992-9222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1801448527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161904",
            "telephone_number": "586-747-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483161904",
            "telephone_number": "586-992-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILE",
        "first_name": "EVAN",
        "middle_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600209",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; 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.