Individual provider Active NPI

Cassandra Justine Casto-Molina, D.D.S.

  • Dentist
  • McMurray, PA
National Provider Identifier
1992025688
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039838 Issued in PA
Practice address
3055 Washington Rd Ste 303
MC Murray, PA 15317-3279
Phone
(724) 942-5630
Fax
(724) 942-5632
NPI assigned
Jun 4, 2010
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 DS039838 PA Primary

Addresses

Primary practice location

3055 Washington Rd Ste 303
MC Murray, PA 15317-3279

Mailing address

3055 Washington Rd Ste 303
MC Murray, PA 15317-3279
Phone (724) 942-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160913002908 PA Order and Referring Only - DentistPractitioner - Dentist 4789970997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1992025688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 303",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-942-5630",
            "fax_number": "724-942-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 303",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-942-5630",
            "fax_number": "724-942-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO-MOLINA",
        "first_name": "CASSANDRA",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.