Castillo Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CASTILLO DENTAL CORPORATION

Doing business as

Mather Modern Dentistry

Practice address

10842 Bear Hollow Dr Ste 101
Rancho Cordova, CA 95670-6475

Phone

(916) 885-4927

Fax

(916) 885-1424

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Michael CastilloNPI 1750005872

Title

Owner/DDS

Phone

(916) 885-4927

Specialties & licenses 1

Addresses

Other names 1

• MATHER MODERN DENTISTRY Doing business as

Locations

Practitioners 2

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

• Michael Francis Castillo, DDS

  • Dentist
  • Rancho Cordova, CA
  • NPI 1750005872
  NPD Authorized official
• Sandra Carpio de Flores, DDS

  • Dentist
  • Sacramento, CA
  • NPI 1144051277
  NPD (past)

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1841987575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 BEAR HOLLOW DR STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706475",
            "telephone_number": "916-885-4927",
            "fax_number": "916-885-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "916-885-4927"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATHER MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriela Patricia Carranza
• Stephanie Jo Carruthers
• Casa Coloma Holdings, LLC (Casa Coloma Health Care Center)
• Mary Casanada
• Thelma Renee Cash, RN
• Celine Therese Castillo, BA
• Michael Francis Castillo, DDS
• Oshae Castleberry
• Samantha Cavileer
• Adrian Cazares

• Dentist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.