Dr. Amy O'Callaghan, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. AMY O'CALLAGHAN, LLC

Doing business as

Pediatric Dentistry Associates

Practice address

991 State St
New Haven, CT 06511-3993

Phone

(203) 787-3669

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Amy O'Callaghan, DMDNPI 1811209604

Title

Owner Dentist

Phone

(203) 787-3669

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry Associates Doing business as

Practitioners 1

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

• Amy Maria O'Callaghan, DMD

  • Pediatric Dentistry
  • Middletown, CT
  • NPI 1811209604
  NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1427658228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113993",
            "telephone_number": "203-787-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Durham Rd Ste 33",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432680",
            "country_code": "US",
            "telephone_number": "203-245-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. AMY O'CALLAGHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "O'CALLAGHAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "203-787-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janeka Downer
• Mary Doyle-Fritz, L.C.S.W
• Elizabeth Ann Doyle, APRN
• Lindsay Doyle
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• Dr. Peter D. Schioppo, LLC
• Dr.Dental of New Haven, PC
• Ann Elizabeth Drabinski, APRN

• Dental Clinic/Center in New Haven, CT
• Providers in New Haven, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.