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JESUS RAFAEL CASTILLO DDS
NPI 1174103667
Dentist - General Practice in Modesto, CA

Active since April 09, 2021PECOS Enrolled
3125 COFFEE RD STE 1, MODESTO, CA 95355(209) 529-2726 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Apr 9, 2021 (2 updates tracked since 2021).

About Jesus Rafael Castillo Dds NPPES

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

JESUS RAFAEL CASTILLO DDS (NPI 1174103667) is an individual general practice provider in Modesto, California, licensed in California (DDS109655) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174103667
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJESUS RAFAEL CASTILLOCredential: DDS
Location Address3125 COFFEE RD STE 1Modesto, CA 95355-1768
Mailing Address3125 Coffee Rd Ste 1Modesto, CA 95355-1768 · (209) 529-2726
Phone(209) 529-2726
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1174103667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS109655
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3125 COFFEE RD STE 1, Modesto, CA 95355
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesus Rafael Castillo Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. RYAN POPPIN D.D.S.
Dentist (General Practice)
3125 COFFEE RD STE 1
MODESTO, CA 95355
Stanislaus County (209) 485-9669
WAYNE T. YEE, DDS, INC.
Dentist (General Practice)
3125 COFFEE RD STE 1
MODESTO, CA 95355
Stanislaus County (209) 529-2726

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 Jesus Castillo's NPI number?

The NPI number for Jesus Castillo is 1174103667. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Jesus Castillo located?

Jesus Castillo practices at 3125 Coffee Rd Ste 1, Modesto, CA 95355. The listed phone number is (209) 529-2726.

What is Jesus Castillo's specialty?

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

Is Jesus Castillo enrolled in Medicare?

Yes. Jesus Castillo is registered in the Medicare PECOS enrollment system.

What insurance does Jesus Castillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 7 other insurers list Jesus 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 Jesus Castillo was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.