Grant Casto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27329 Issued in FL

Practice address

910 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-1766

Phone

(772) 785-9515

Fax

(772) 785-5308

NPI assigned

Aug 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Lake Butler Dental Group PA

  • Dental Clinic/Center
  • Winter Garden, FL
  • NPI 1124732698
  NPD
• Warren Yazji Associates DDS PA

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1538184148
  NPD (past)

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1881312965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 WINTER GARDEN VINELAND RD",
            "address_2": "STE B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "321-248-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW SAINT LUCIE WEST BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-785-9515",
            "fax_number": "772-785-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO",
        "first_name": "GRANT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdstaff@regencydental.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Warren Yazji Associates DDS PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "910 SW Saint Lucie West Blvd",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349861766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassandra Gibbs Hicks Arnp LLC
• Stephanie Castellanos, BS
• Deyaneira Castillo
• Sophia Gabriela Castillo
• Tehya Castillo
• Andrea Gabriela Castro, DPT
• Eduardo Castro, APRN
• Catalyst for Change Psychiatric & Counseling Services
• Chellise Cato, MD
• Gabrielle Cave, B.S

• General Practice Dentistry in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.