Amanda Lynn Castillo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33960 Issued in TX

Practice address

30875 Interstate 10 W Ste 200B
Boerne, TX 78006-9278

Phone

(830) 368-4830

Fax

(830) 368-4832

NPI assigned

Jun 22, 2017

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alvo Enterprises, PLLC

  dba Complete Dental Studio

  • Dental Clinic/Center
  • Boerne, TX
  • NPI 1730797697
  NPD
• Jeffrey W Ausen DDS SC

  • Dentist
  • Waukesha, WI
  • NPI 1629144431
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881114569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30875 INTERSTATE 10 W STE 200B",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069278",
            "telephone_number": "830-368-4830",
            "fax_number": "830-368-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30875 INTERSTATE 10 W STE 200B",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069278",
            "telephone_number": "830-368-4830",
            "fax_number": "830-368-4832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 Haymarket Rd",
            "address_2": "Unit 16",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "53189",
            "country_code": "US",
            "telephone_number": "210-445-5966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 N Grandview Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881671",
            "country_code": "US",
            "telephone_number": "262-542-6755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001630-15",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@completedentalstudio.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30875 Interstate 10 W Ste 200B",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780069278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad A Carpenter, D.C.
• Kathleen Leah Carroll, APN
• Casey Carswell
• Jesus Eduardo Castaneda, DC
• Cassie J Castano, ND
• Christopher Castillo, LPC
• Elsa Castillo, LVN
• Ivette Castillo, LVN
• Megan Ryan Castro, DNP, APRN, PMHNP-BC
• Paige Marie Cathey, RBT

• Dentist in Boerne, TX
• Providers in Boerne, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.