Organization Active NPI

Richard F. Callahan, LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bourbonnais, IL
National Provider Identifier
1104285972
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RICHARD F. CALLAHAN, LTD.
Practice address
10 Briarcliff Professional Center
Bourbonnais, IL 60914-1775
Phone
(815) 939-2585
Fax
(815) 939-7857
NPI assigned
Feb 22, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Richard F. Callahan
Title
Owner/President
Phone
(815) 939-2585

National Provider Directory

National Provider Directory

Locations

10 Briarcliff Prof Ctr
Bourbonnais, IL 60914
Phone (815) 939-2585

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

10 Briarcliff Professional Center
Bourbonnais, IL 60914-1775

Mailing address

10 Briarcliff Professional Center
Bourbonnais, IL 60914
Phone (815) 939-2585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2016.

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1104285972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRIARCLIFF PROFESSIONAL CENTER",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-939-2585",
            "fax_number": "815-939-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRIARCLIFF PROFESSIONAL CENTER",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141775",
            "telephone_number": "815-939-2585",
            "fax_number": "815-939-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F. CALLAHAN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "815-939-2585",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.