Charles James Callea, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018381 Issued in IL

Practice address

502 N Plum Grove Rd
Ste. C
Palatine, IL 60067-8204

Phone

(847) 934-3367

Fax

(847) 934-5623

NPI assigned

Jul 31, 2008

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1275799090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N PLUM GROVE RD",
            "address_2": "STE. C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678204",
            "telephone_number": "847-934-3367",
            "fax_number": "847-934-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N PLUM GROVE RD",
            "address_2": "STE. C",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678204",
            "telephone_number": "847-934-3367",
            "fax_number": "847-934-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEA",
        "first_name": "CHARLES",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michaela Ann Cantu, LCSW

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.