Active NPI
Kelsi M Callahan, RDH
- Specialist
- Reno, NV
National Provider Identifier
1346818374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 601 W Moana LN Ste 1
Reno, NV 89509-4949 - Phone
- (775) 543-2522
- NPI assigned
- Jun 15, 2021
- Last updated
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 101121 | NV | |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 101121 | NV | |
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
601 W Moana LN Ste 1
Reno, NV 89509-4949
Mailing address
9741 Smoke Wagon Dr
Sparks, NV 89441-9267
Phone (775) 721-2174
Other names 1
- Kelsi M Hayden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101121 | NV | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1346818374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9741 SMOKE WAGON DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894419267",
"telephone_number": "775-721-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MOANA LN STE 1",
"city": "RENO",
"state": "NV",
"postal_code": "895094949",
"telephone_number": "775-543-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KELSI",
"middle_name": "M",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2021-07-09",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NV",
"license": "101121",
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "NV",
"license": "101121",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSI",
"last_name": "HAYDEN",
"middle_name": "M",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
- Call to Compassion
- Call to Compassion
- Emily Call
- Hope Ashley Callahan, RN
- Katie Callahan, FNP
- Kimberley Callahan
- Michael Edward Callahan, PA-C
- Callaway-Nelson Reno Modern Dentistry, PC (Reno Modern Dentistry and Orthodontics)
- Callaway-Nelson Reno Smiles Dentistry, PC (Reno Smiles Dentistry and Orthodontics)
- William Calleja
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.