Individual provider Active NPI

Douglas Cast, DDS, FAGD, DIADI

  • General Practice Dentistry
  • Murrieta, CA
National Provider Identifier
1841529328
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36525 Issued in CA
Practice address
39755 Murrieta Hot Springs Road
D-150
Murrieta, CA 92563
Phone
(951) 698-1700
Fax
(951) 848-0758
NPI assigned
Dec 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36525 CA Primary

Addresses

Primary practice location

39755 Murrieta Hot Springs Road
D-150
Murrieta, CA 92563

Mailing address

74120 El Paseo Ste 1
Palm Desert, CA 92260-4120
Phone (760) 301-5252

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
36525CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cast DDS Inc General Practice CurrentSince Sep 15, 2024 Accepting new patients
Akkari Dental Corp General Practice Past Accepting new patients

Locations

74120 El Paseo
Ste 1
Palm Desert, CA 92260
Phone (760) 301-5252

Organizations & group practices 2

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": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1841529328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74120 EL PASEO STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604120",
            "telephone_number": "760-301-5252",
            "fax_number": "442-274-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS ROAD",
            "address_2": "D-150",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-698-1700",
            "fax_number": "951-848-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAST",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD, DIADI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.