Deidre M Callanan, DC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

000906283 Issued in CO

Practice address

13065 E 17TH Ave
Aurora, CO 80045-2532

Phone

(303) 724-8290

NPI assigned

May 25, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215983226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 UNION ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052010",
            "telephone_number": "413-732-0088",
            "fax_number": "413-737-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 E 17TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452532",
            "telephone_number": "303-724-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLANAN",
        "first_name": "DEIDRE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2121",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000906283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2121",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "YY3061",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Call, ACNP
• Keren Call, MD
• Margaret Callahan
• Monica Leigh Callahan, OTD
• Isabelle Callan
• Carlin Callaway, NP
• Andrew Lawrence Callen, MD
• Kathryn Caller, PAC
• Eryn Brooke Sullivan Callihan, MPH & PA-C
• Catherine Elizabeth Callinan, MD

• Dental Hygienist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.