NPIMap

Organization Active NPI

Callahan, Flanagan & Smith Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, NY
National Provider Identifier
1437183647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
036509-1 Issued in NY
Legal business name
CALLAHAN, FLANAGAN & SMITH ORTHODONTICS
Practice address
300 S Manlius St
Fayetteville, NY 13066-2041
Phone
(315) 637-2674
NPI assigned
Jul 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John D Callahan Jr., DDSNPI 1043347438
Title
Partner
Phone
(315) 637-2674

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 036509-1 NY Primary

Addresses

Primary practice location

300 S Manlius St
Fayetteville, NY 13066-2041

Mailing address

300 S Manlius St
Fayetteville, NY 13066-2041
Phone (315) 637-2674

National Provider Directory

National Provider Directory

Locations

300 S Manlius St
Fayetteville, NY 13066
Phone (315) 637-2674

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437183647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S MANLIUS ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662041",
            "telephone_number": "315-637-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MANLIUS ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662041",
            "telephone_number": "315-637-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN, FLANAGAN & SMITH ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-637-2674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "036509-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.