Individual provider Active NPI

Robin Edward Castro, D.M.D.

  • Dentist
  • Lombard, IL
National Provider Identifier
1972936680
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029516 Issued in IL
Practice address
845 S Main St Ste 202
Lombard, IL 60148
Phone
(630) 620-7300
NPI assigned
Aug 16, 2013
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029516 IL Primary

Addresses

Primary practice location

845 S Main St Ste 202
Lombard, IL 60148

Mailing address

845 S Main St Ste 202
Lombard, IL 60148-3350
Phone (630) 620-7300

Other practice location 1

271 N Oak St
Elmhurst, IL 60126-2653
Phone (309) 269-3632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150707001552 IL Order and Referring Only - DentistPractitioner - Dentist 2961714878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Dental Place CurrentSince Oct 13, 2019 Accepting new patients
A Dental Place LTD PastSince Oct 13, 2019 Accepting new patients

Locations

845 S Main St
Ste 202
Lombard, IL 60148
Phone (630) 620-7300

Organizations & group practices 2

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1972936680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 202",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483350",
            "telephone_number": "630-620-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 202",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-620-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262653",
            "country_code": "US",
            "telephone_number": "309-269-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ROBIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.