MRS. JORDAN ANTONISSE CASTILLO D.D.S.
NPI 1104208172
Dentist - General Practice in Omaha, NE

Q: What is Jordan Castillo's NPI number?

The NPI number for Jordan Castillo is 1104208172. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Jordan Castillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Castillo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2015

8200 DODGE ST, OMAHA, NE 68114(402) 552-7267 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Jordan Antonisse Castillo D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JORDAN ANTONISSE CASTILLO D.D.S. (NPI 1104208172) is an individual general practice provider in Omaha, Nebraska, licensed in Missouri (2017000011) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1104208172

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMRS. JORDAN ANTONISSE CASTILLOCredential: D.D.S.

Location Address8200 DODGE STOmaha, NE 68114-4113

Mailing Address4508 Ne 85th StKansas City, MO 64156-7802 · (214) 535-1488

Phone(402) 552-7267

Sole ProprietorYes

Enumeration DateJune 25, 2015

Last NPPES UpdateJuly 21, 2022

NPPES CertifiedApril 30, 2020

✔ NPI 1104208172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2017000011

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8200 DODGE ST, Omaha, NE 68114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDRENS HOSPITAL & MEDICAL CENTER

Dietitian, Registered (Nutrition, Pediatric)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-5400

DR. AMANDA MARSHALL

Pediatrics (Pediatric Cardiology)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-2292

CLAYTON MOWRER D.O.

Internal Medicine

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-4060

DR. QAIS ALLOAH MD

Pediatrics (Pediatric Cardiology)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-4350

CHILDREN'S SPECIALTY PHYSICIAN BILLING

Nurse Practitioner (Pediatrics)

8200 DODGE ST, CHILDREN'S HOSPITAL
OMAHA, NE 68114

Douglas County (402) 955-6928

MRS. SARAH ASHLEY CLEAVER APRN

Nurse Practitioner (Pediatrics)

8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - ED
OMAHA, NE 68114

Douglas County (402) 955-5150

JOHN D KUGLER M.D.

Pediatrics (Pediatric Cardiology)

8200 DODGE ST
OMAHA, NE 68114

Douglas County (402) 955-4350

MR. SCOTT S JAMES MD

Pediatrics (Pediatric Emergency Medicine)

8200 DODGE ST, CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA, NE 68114

Douglas County (402) 955-5150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Castillo's NPI number?

The NPI number for Jordan Castillo is 1104208172. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Jordan Castillo located?

Jordan Castillo practices at 8200 Dodge St, Omaha, NE 68114. The listed phone number is (402) 552-7267.

What is Jordan Castillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jordan Castillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 10 other insurers list Jordan Castillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Castillo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.