Active NPI
Timothy Patrick Callahan, DDS
- General Practice Dentistry
- Walnut Creek, CA
National Provider Identifier
1275633836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30364
- Practice address
- 1801 Oakland Blvd Ste 120
Walnut Creek, CA 94596-7001 - Phone
- (925) 947-0616
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30364 | CA | Primary |
Addresses
Primary practice location
1801 Oakland Blvd Ste 120
Walnut Creek, CA 94596-7001
Mailing address
1801 Oakland Blvd Ste 120
Walnut Creek, CA 94596-7001
Phone (925) 947-0616
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 May 2, 2016 through May 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275633836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 OAKLAND BLVD STE 120",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945967001",
"telephone_number": "925-947-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 OAKLAND BLVD STE 120",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945967001",
"telephone_number": "925-947-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "30364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
- California Imaging and Treatment Center LLC
- California Integrative Medicine, Inc. (Center for Regenerative Medicine)
- California Spine Center a Professional Medical Corporation
- California Sports Physical Therapy Centers Inc (California Rehabilitation and Sports Therapy)
- Nancy Ann Calkin, PT,CHT
- Thomas M. Callan, OD
- Christopher G. Callas
- Elizabeth Marie Callaway, D.C.
- Bryan R Callejo
- Callista Surgery Center, LLC
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.