Active NPI
Daniel Callahan, DPM
- Foot & Ankle Surgery Podiatrist
- Beavercreek, OH
National Provider Identifier
1184627770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36-002571
- Practice address
- 2290 Lakeview Dr
Ste B
Beavercreek, OH 45431-2576 - Phone
- (937) 320-9954
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36-002571 | OH | Primary |
Addresses
Primary practice location
2290 Lakeview Dr
Ste B
Beavercreek, OH 45431-2576
Mailing address
2290 Lakeview Dr
Ste B
Beavercreek, OH 45431-2576
Phone (937) 320-9954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-002571 | OH | MD | Foot & Ankle Surgery Podiatrist |
| 2571 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184627770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 LAKEVIEW DR",
"address_2": "STE B",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312576",
"telephone_number": "937-320-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 LAKEVIEW DR",
"address_2": "STE B",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312576",
"telephone_number": "937-320-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "DANIEL",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36-002571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
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; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.