Robin Edward Castro, D.M.D.
Individual provider Active NPI Dentist · Lombard, IL
NPI 1972936680 · NPPES record last updated Oct 11, 2019
Key facts
- NPI
- 1972936680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019029516 (IL)
- Practice address
- 845 S Main St Ste 202
Lombard, IL 60148 - Phone
- (630) 620-7300
- NPI assigned
- Aug 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707001552 | IL | Order and Referring Only - Dentist |
2961714878 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Dental Place | Current |
Accepting new patients | |
| A Dental Place LTD | Past |
Accepting new patients |
Locations
845 S Main St
Ste 202
Lombard, IL 60148
Phone (630) 620-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029516 | IL | Yes |
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
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.