IndividualActive
Jordan Castillo, D.D.S.
NPI 1104208172 · General Practice Dentistry · Omaha, NE
Provider details
- NPI number
- 1104208172
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2017000011 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8200 Dodge St
Omaha, NE 68114-4113
Phone: (402) 552-7267
Street-level locationGet directions
Mailing address
4508 Ne 85th St
Kansas City, MO 64156-7802
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2022-07-21
- Certified
- 2020-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.