Individual provider Active NPI

Cheryl F Callahan, DDS

  • Dentist
  • Rockville, MD
National Provider Identifier
1013032903
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
09753 Issued in MD
Practice address
15225 Shady Grove Road
Ste 301 Cheryl F Callahan DDS PA
Rockville, MD 20850
Phone
(301) 948-1212
Fax
(301) 840-1722
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 09753 MD Primary
Durable Medical Equipment & Medical Supplies 332B00000X 9753 MD

Addresses

Primary practice location

15225 Shady Grove Road
Ste 301 Cheryl F Callahan DDS PA
Rockville, MD 20850

Mailing address

15225 Shady Grove Road
Ste 301
Rockville, MD 20850
Phone (301) 948-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211001108 MD Order and Referring Only - DentistPractitioner - Dentist 1456652635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09753MDMDDentist
9753MDMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl F Callahan DDS PA Dentist CurrentSince Feb 27, 2017 Accepting new patients
Dental Sleep Medicine LLC Durable Medical Equipment & Medical Supplies PastSince Dec 26, 2017 Accepting new patients

Locations

15225 Shady Grove Rd
Ste 301
Rockville, MD 20850
Phone (301) 948-1212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1013032903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE ROAD",
            "address_2": "STE 301",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-948-1212",
            "fax_number": "301-840-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE ROAD",
            "address_2": "STE 301 CHERYL F CALLAHAN DDS PA",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-948-1212",
            "fax_number": "301-840-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CHERYL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "09753",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "9753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.