Susan Callejas, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS036472 Issued in PA

Practice address

6909 Castor Ave
Philadelphia, PA 19149-1702

Phone

(215) 742-4343

Fax

(215) 742-4436

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1205972494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CROYDEN RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121612",
            "telephone_number": "305-582-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491702",
            "telephone_number": "215-742-4343",
            "fax_number": "215-742-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEJAS",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16676",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Callan, PHD
• David J Callans, MD
• Melissa L Callans, CRNP
• Danielle Callaro
• Juan Sebastian Calle-Toro, MD
• Keith Don Calligaro, MD
• Calloway Counseling LLC
• Courtney Calloway, LPC
• Michael Calloway, BA
• Vincent Lawrence Calloway, MSS, LCSW, CEAP

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.