Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IVAN NOEL CASILLAS RODRIGUEZ
NPI 1245136100
Dentist - General Practice in Nuevo, CA

Q: What is Ivan Casillas Rodriguez's NPI number?

The NPI number for Ivan Casillas Rodriguez is 1245136100. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Q: What is Ivan Casillas Rodriguez's specialty?

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

Active since October 16, 2026

29616 NUEVO RD, NUEVO, CA 92567(951) 928-4333 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ivan Noel Casillas Rodriguez NPPES

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

IVAN NOEL CASILLAS RODRIGUEZ (NPI 1245136100) is an individual general practice provider in Nuevo, California, licensed in California (113613) and active in the NPI registry since October 2026. He maintains a secondary practice location in Jurupa Valley.

NPPES Registry Identity

NPI1245136100

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameIVAN NOEL CASILLAS RODRIGUEZ

Location Address29616 NUEVO RDNuevo, CA 92567-9201

Mailing Address29616 Nuevo RdNuevo, CA 92567-9201 · (951) 928-4333

Phone(951) 928-4333

Sole ProprietorNo

Enumeration DateOctober 16, 2026

NPPES CertifiedOctober 16, 2026

✔ NPI 1245136100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 113613

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.

29616 NUEVO RD, Nuevo, CA 92567

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Secondary Practice Location 1

Location 16348 Mission BlvdJurupa Valley, CA 92509-4115 · Phone (951) 592-3453

Other Providers at the Same Location NPPES

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

NUEVO SMILE DENTAL MANAGEMENT CORPORATION

Dental Assistant

29616 NUEVO RD, SUITE A4
NUEVO, CA 92567

Riverside County (951) 377-4157

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 Ivan Casillas Rodriguez's NPI number?

The NPI number for Ivan Casillas Rodriguez is 1245136100. It was assigned to this individual provider in the NPPES registry on October 16, 2026.

Where is Ivan Casillas Rodriguez located?

Ivan Casillas Rodriguez practices at 29616 Nuevo Rd, Nuevo, CA 92567. The listed phone number is (951) 928-4333.

What is Ivan Casillas Rodriguez's specialty?

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

When was this NPI record last updated?

The NPPES record for Ivan Casillas Rodriguez was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.