Active NPI
William Shawn Callahan, D.D.S.
- Dentist
- Huntsville, AL
National Provider Identifier
1063636827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5176
- Practice address
- 2045 Cecil Ashburn Dr SE Ste 203
Huntsville, AL 35802-2564 - Phone
- (256) 885-0225
- Fax
- (256) 885-0128
- NPI assigned
- Apr 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5176 | AL | Primary |
Addresses
Primary practice location
2045 Cecil Ashburn Dr SE Ste 203
Huntsville, AL 35802-2564
Mailing address
2045 Cecil Ashburn Dr SE Ste 203
Huntsville, AL 35802-2564
Phone (256) 885-0225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2023 through Jan 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5176 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063636827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 CECIL ASHBURN DR SE STE 203",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022564",
"telephone_number": "256-885-0225",
"fax_number": "256-885-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 CECIL ASHBURN DR SE STE 203",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022564",
"telephone_number": "256-885-0225",
"fax_number": "256-885-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "WILLIAM",
"middle_name": "SHAWN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.