Individual provider Active NPI

Joseph B Castellano Jr., DDS

  • Pediatric Dentistry
  • Laredo, TX
National Provider Identifier
1972551620
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
16249 Issued in TX
Practice address
7002 McPherson Ave
Suite 104
Laredo, TX 78041-6442
Phone
(956) 725-5035
Fax
(956) 717-4106
NPI assigned
May 5, 2006
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16249 TX
Pediatric Dentistry 1223P0221X 16249 TX Primary

Addresses

Primary practice location

7002 McPherson Ave
Suite 104
Laredo, TX 78041-6442

Mailing address

7002 McPherson Ave
Suite 104
Laredo, TX 78041-6442
Phone (956) 725-5035

Other identifiers 1

IdentifierTypeStateIssuer
0911380-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604002380 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8729309513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16249TXMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: jcastellano62190@direct.utmsa.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1972551620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 MCPHERSON AVE",
            "address_2": "SUITE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416442",
            "telephone_number": "956-725-5035",
            "fax_number": "956-717-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 MCPHERSON AVE",
            "address_2": "SUITE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416442",
            "telephone_number": "956-725-5035",
            "fax_number": "956-717-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16249",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "16249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911380-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.