John Craig Callister, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

373930 Issued in UT

Practice address

1172 E 100 N
Suite 6
Payson, UT 84651-1667

Phone

(801) 465-3913

Fax

(801) 465-3913

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 2)

Networks

• UT PPO D-SNP

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.

• Mountain View Dental Group LLC

  • Dentist
  • Payson, UT
  • NPI 1568504181
  NPD (past) Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114006806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846510038",
            "telephone_number": "801-465-3691",
            "fax_number": "801-465-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E 100 N",
            "address_2": "SUITE 6",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511667",
            "telephone_number": "801-465-3913",
            "fax_number": "801-465-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISTER",
        "first_name": "JOHN",
        "middle_name": "CRAIG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "373930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent A Burton, PT
• David Shawn Bush, M.D.
• Ashley Alisa Buttars, BCBA
• Maria Caceres, MA, BCBA, LBA
• Kevin S Cahoon, DDS
• John D Callister, D.D.S.
• Matthew S Callister, D.M.D.
• Larry David Campbell, SUDC
• Max Kent Cannon, M.D.
• Canyon View Medical Group LLC

• Dentist in Payson, UT
• Providers in Payson, UT by specialty
• Dentist in Utah

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.