Mark J Castle, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D2897 Issued in AZ

Practice address

2700 S Woodlands Village Blvd
Suite 390
Flagstaff, AZ 86001-7114

Phone

(928) 226-7654

Fax

(928) 226-7373

NPI assigned

Oct 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Castle Dental Group PC

  • Customized Equipment (DME)
  • Cave Creek, AZ
  • NPI 1982088829
  NPD (past) Authorized official
• Castle Dental Group, PC

  • Customized Equipment (DME)
  • Flagstaff, AZ
  • NPI 1841563095
  NPD (past) Authorized official

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1962654889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CELILO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860019531",
            "telephone_number": "928-525-9263",
            "fax_number": "928-525-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S WOODLANDS VILLAGE BLVD",
            "address_2": "SUITE 390",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017114",
            "telephone_number": "928-226-7654",
            "fax_number": "928-226-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Caspian, MD
• Sally Robison Cass
• Andrew Joseph Castelein, PT, DPT, AT/L
• Rachel Castillo, PA-C
• Castle Dental Group, PC
• Jairo De Jesus Castrolondono, MD
• Renzo M Cataldo, M.D.
• Catholic Charities Community Services
• Catholic Charities Community Servies
• Kielane Cattleman, RBT

• Dentist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.