Active NPI
Alexander Jordan Castilho, M.D.
- Diagnostic Radiology Physician
- Puyallup, WA
National Provider Identifier
1902250087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 91577
- Practice address
- 7624 137TH Street CT E
Puyallup, WA 98373-6418 - Phone
- (727) 871-0076
- NPI assigned
- Apr 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 91577 | GA | Primary |
Addresses
Primary practice location
7624 137TH Street CT E
Puyallup, WA 98373-6418
Mailing address
7624 137TH Street CT E
Puyallup, WA 98373-6418
Phone (727) 871-0076
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91577 | GA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1902250087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7624 137TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983736418",
"telephone_number": "727-871-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7624 137TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983736418",
"telephone_number": "727-871-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILHO",
"first_name": "ALEXANDER",
"middle_name": "JORDAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-14",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "91577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.