Individual provider Active NPI

Roderick James Castells

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1992060867
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28006 Issued in TX
Practice address
2403 Lacy LN
Carrollton, TX 75006-6514
Phone
(972) 869-3789
Fax
(972) 869-3791
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28006 TX Primary

Addresses

Primary practice location

2403 Lacy LN
Carrollton, TX 75006-6514

Mailing address

23800 Northwest Fwy
Ste 201
Cypress, TX 77429-5745
Phone (972) 869-3789

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
I20160916002293 TX Order and Referring Only - DentistPractitioner - Dentist 6709173834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28006TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Castells Dental Group, PLLC Current 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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1992060867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 NORTHWEST FWY",
            "address_2": "STE 201",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295745",
            "telephone_number": "972-869-3789",
            "fax_number": "972-869-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 LACY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066514",
            "telephone_number": "972-869-3789",
            "fax_number": "972-869-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLS",
        "first_name": "RODERICK",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.