NPIMap

Organization Active NPI

Julie R Callum DMD PC

  • Prosthodontics
  • Lynn, MA
National Provider Identifier
1427033422
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18299 Issued in MA
Legal business name
JULIE R CALLUM DMD PC
Practice address
81 Broad St # R
Lynn, MA 01902-5020
Phone
(781) 593-7665
Fax
(781) 593-8344
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Julie Rose Callum, DMDNPI 1558555490
Title
Owner/Operator
Phone
(781) 593-7665

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
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18299 MA Primary

Addresses

Primary practice location

81 Broad St # R
Lynn, MA 01902-5020

Mailing address

81R Broad St
Lynn, MA 01902-5003
Phone (781) 593-7665

Other identifiers 2

IdentifierTypeStateIssuer
18299OtherDELTA DENTAL PROVIDER ID
X10992OtherBCBS OF MA PROVIDER ID

National Provider Directory

National Provider Directory

Locations

81R Broad St
Lynn, MA 01902

Practitioners & affiliated clinicians

Practitioners 1

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": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1427033422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81R BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025003",
            "telephone_number": "781-593-7665",
            "fax_number": "781-593-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BROAD ST # R",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025020",
            "telephone_number": "781-593-7665",
            "fax_number": "781-593-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE R CALLUM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "781-593-7665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PROVIDER ID",
            "identifier": "18299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA PROVIDER ID",
            "identifier": "X10992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.