Organization Active NPI

Richard L. Callender, DDS, PC

  • General Practice Dentistry
  • West Fargo, ND
National Provider Identifier
1396151569
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1509 Issued in ND
Legal business name
RICHARD L. CALLENDER, DDS, PC
Practice address
120 1St St
West Fargo, ND 58078-1835
Phone
(701) 282-5930
Fax
(701) 282-0017
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Richard L Callender, DDSNPI 1992745996
Title
Dentist, Personal Corporation
Phone
(701) 282-5930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1509 ND Primary

Addresses

Primary practice location

120 1St St
West Fargo, ND 58078-1835

Mailing address

120 1St St
West Fargo, ND 58078-1835
Phone (701) 282-5930

Other identifiers 1

IdentifierTypeStateIssuer
00040519MedicaidND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1396151569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781835",
            "telephone_number": "701-282-5930",
            "fax_number": "701-282-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781835",
            "telephone_number": "701-282-5930",
            "fax_number": "701-282-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. CALLENDER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST, PERSONAL CORPORATION",
        "authorized_official_telephone_number": "701-282-5930",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040519",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.