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JACK CASTELLANOS
NPI 1891537890
Student in an Organized Health Care Education/Training Program in Taylorsville, UT

Active since June 10, 2024
4162 S DAVENCREST LN, TAYLORSVILLE, UT 84129(801) 859-5950 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Castellanos NPPES

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

JACK CASTELLANOS (NPI 1891537890) is an individual student in an organized health care education/training program in Taylorsville, Utah and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1891537890
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK CASTELLANOS
Location Address4162 S DAVENCREST LNTaylorsville, UT 84129-5368
Mailing Address4162 S Davencrest LnTaylorsville, UT 84129-5368 · (801) 859-5950
Phone(801) 859-5950
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1891537890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4162 S DAVENCREST LN, Taylorsville, UT 84129
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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 Jack Castellanos's NPI number?

The NPI number for Jack Castellanos is 1891537890. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Jack Castellanos located?

Jack Castellanos practices at 4162 S Davencrest Ln, Taylorsville, UT 84129. The listed phone number is (801) 859-5950.

What is Jack Castellanos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Castellanos was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.