Active NPI
Austin Calaway, DMD
- Dentist
- Maricopa, AZ
National Provider Identifier
1093376725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010408
- Practice address
- 21300 N John Wayne Pkwy Ste 108
Maricopa, AZ 85139-8964 - Phone
- (520) 494-7578
- NPI assigned
- Jun 24, 2019
- 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 | D010408 | AZ | Primary |
Addresses
Primary practice location
21300 N John Wayne Pkwy Ste 108
Maricopa, AZ 85139-8964
Mailing address
21155 N 56TH St Apt 3141
Phoenix, AZ 85054-5557
Phone (509) 942-9219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010408 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R. Chaffin Dba Johnson Ranch Dental | General Practice | Past | Accepting new patients |
| Jrfdo LLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Queen Creek, AZ
- NPI 1811064165
-
- Dental Clinic/Center
- San Tan Valley, AZ
- NPI 1184159360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1093376725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21155 N 56TH ST APT 3141",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545557",
"telephone_number": "509-942-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21300 N JOHN WAYNE PKWY STE 108",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851398964",
"telephone_number": "520-494-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALAWAY",
"first_name": "AUSTIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.