Active NPI
Matthew Theodore Castele, DMD
- Dental Anesthesiology
- North Charleston, SC
National Provider Identifier
1891135968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 8748
- Practice address
- 4400 Dorchester Rd
Suite 108
North Charleston, SC 29405-6849 - Phone
- (864) 249-0621
- Fax
- (412) 937-9014
- NPI assigned
- Jul 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039655 | PA | |
| Dental Anesthesiology | 1223D0004X | 8748 | SC | Primary |
Addresses
Primary practice location
4400 Dorchester Rd
Suite 108
North Charleston, SC 29405-6849
Mailing address
4400 Dorchester Rd
Suite 108
North Charleston, SC 29405-6849
Phone (864) 249-0621
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS039655 | PA | MD | Dentist |
| 8748 | SC | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1891135968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 DORCHESTER RD",
"address_2": "SUITE 108",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294056849",
"telephone_number": "864-249-0621",
"fax_number": "412-937-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 DORCHESTER RD",
"address_2": "SUITE 108",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294056849",
"telephone_number": "864-249-0621",
"fax_number": "412-937-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELE",
"first_name": "MATTHEW",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-03",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039655",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "SC",
"license": "8748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.