Castle Dental Group, PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

2897 Issued in AZ

Legal business name

CASTLE DENTAL GROUP, PC

Practice address

2700 S Woodlands Village Blvd Ste 390
Flagstaff, AZ 86001-2981

Phone

(928) 226-7654

Fax

(928) 226-7331

NPI assigned

Feb 20, 2012

Organization subpart

Yes

Parent organization

CASTLE DENTAL GROUP, PCAs reported in NPPES

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

Authorized official

Name

Dr. Mark J Castle, DDSNPI 1962654889

Title

Ceo

Phone

(928) 525-9263

Specialties & licenses 2

Addresses

Other names 1

• Aspen Sleep Center Doing business as

Part of

Castle Dental Group PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Castle Dental Group PC

  • Customized Equipment (DME)
  • Cave Creek, AZ
  • NPI 1982088829
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Castle, DDS

  • Dentist
  • Flagstaff, AZ
  • NPI 1962654889
  NPD (past) Authorized official

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1841563095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CELILO",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014007",
            "telephone_number": "928-525-9263",
            "fax_number": "928-525-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S WOODLANDS VILLAGE BLVD STE 390",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012981",
            "telephone_number": "928-226-7654",
            "fax_number": "928-226-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE DENTAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE DENTAL GROUP, PC",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-525-9263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "2897",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert T Caskey, DDS, MSD
• Elizabeth J Caspian, MD
• Sally Robison Cass
• Andrew Joseph Castelein, PT, DPT, AT/L
• Rachel Castillo, PA-C
• Mark J Castle, DDS
• Jairo De Jesus Castrolondono, MD
• Renzo M Cataldo, M.D.
• Catholic Charities Community Services
• Catholic Charities Community Servies

• Customized Equipment (DME) in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.