PARKER THEODORE KASTELIC I DMD
NPI 1104494632
Dentist in Trinidad, CO

Active since June 11, 2021
2124 FREEDOM RD, TRINIDAD, CO 81082(719) 422-5696 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Parker Theodore Kastelic I Dmd NPPES

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

PARKER THEODORE KASTELIC I DMD (NPI 1104494632) is an individual dentist in Trinidad, Colorado, licensed in Colorado (00204748) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1104494632
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePARKER THEODORE KASTELIC ICredential: DMD
Location Address2124 FREEDOM RDTrinidad, CO 81082-1210
Mailing Address403 N Commercial St Apt 201Trinidad, CO 81082-1903 · (920) 838-2258
Sole ProprietorYes
Enumeration DateJune 11, 2021
NPPES CertifiedJune 7, 2021
NPI 1104494632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CO · 00204748
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2124 FREEDOM RD, Trinidad, CO 81082

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
2124 FREEDOM RD
TRINIDAD, CO 81082

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 Parker Kastelic's NPI number?

The NPI number for Parker Kastelic is 1104494632. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Parker Kastelic located?

Parker Kastelic practices at 2124 Freedom Rd, Trinidad, CO 81082. The listed phone number is (719) 422-5696.

What is Parker Kastelic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Parker Kastelic accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 3 other insurers list Parker Kastelic 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 Parker Kastelic was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.