NPIMap

Organization Active NPI

Jose C. Castillo, D.D.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Jolla, CA
National Provider Identifier
1992501183
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JOSE C. CASTILLO, D.D.S., INC.
Practice address
7855 Fay Ave Ste 220
La Jolla, CA 92037-4267
Phone
(858) 454-7111
NPI assigned
Feb 20, 2025
Organization subpart
Yes
Parent organization
JOSE C. CASTILLO, D.D.S., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Jose CastilloNPI 1275932188
Title
President
Phone
(858) 454-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

7855 Fay Ave Ste 220
La Jolla, CA 92037-4267

Mailing address

7855 Fay Ave Ste 220
La Jolla, CA 92037-4267

Other names 1

  • Boutique Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jose C Castillo DDS Inc2 organizations share this tax ID, including this one
Part of
Jose C Castillo DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7855 Fay Ave
Ste 220
La Jolla, CA 92037
Phone (858) 454-7111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1992501183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE STE 220",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 FAY AVE STE 220",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374267",
            "telephone_number": "858-454-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE C. CASTILLO, D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSE C. CASTILLO, D.D.S., INC.",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-454-7111"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boutique Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.