Lucas Castillo PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUCAS CASTILLO PC

Practice address

3113 W Colorado Ave
Colorado Springs, CO 80904-2040

Phone

(901) 413-3685

NPI assigned

Jul 28, 2019

Last updated

Jul 28, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTAL CARE AT RED ROCK CANYONAs reported in NPPES

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

Authorized official

Name

Dr. Lucas Ramon Castillo, DDS

Title

Dentist

Phone

(901) 413-3685

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Lucas Castillo PC

Locations

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1932753001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042040",
            "telephone_number": "901-413-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042040",
            "telephone_number": "901-413-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS CASTILLO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL CARE AT RED ROCK CANYON",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-413-3685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55975364",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lou Lubchenco, MSW LCSW
• Kendra Lubin
• Jessica Lubs, AGCNS
• Katarina Lucardie
• Larencia A Lucas Caine, AGNP-C
• Debra Lucas Frailing, PMHNP-BC
• Lucas Inc (Pikes Peak Respite Services)
• Lucas Inc (Pikes Peak Respite Services)
• Lucas Inc (Pikes Peak Respite Services)
• Anne K Lucas, AGACNP-BC

• Dental Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.