Individual provider Active NPI

Emilio Jose Castrillon Sr., DC

  • Chiropractor
  • Wesley Chapel, FL
National Provider Identifier
1982247029
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12943 Issued in FL
Practice address
2604 Cypress Ridge Blvd
Ste 102
Wesley Chapel, FL 33544-6311
Phone
(813) 560-4673
NPI assigned
Oct 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12943 FL Primary

Addresses

Primary practice location

2604 Cypress Ridge Blvd
Ste 102
Wesley Chapel, FL 33544-6311

Mailing address

2604 Cypress Ridge Blvd Ste 102-a
Wesley Chapel, FL 33544-6311
Phone (813) 560-4673

Other practice location 1

2948 Willowleaf Ln
Wesley Chapel, FL 33544-7372
Phone (864) 435-3984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Group Center Inc PastSince Oct 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1982247029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 CYPRESS RIDGE BLVD STE 102-A",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446311",
            "telephone_number": "813-560-4673",
            "fax_number": "888-728-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 CYPRESS RIDGE BLVD",
            "address_2": "STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446311",
            "telephone_number": "813-560-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2948 Willowleaf Ln",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335447372",
            "country_code": "US",
            "telephone_number": "864-435-3984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRILLON",
        "first_name": "EMILIO",
        "middle_name": "JOSE",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.