Richard Frederick Callahan, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

19-01-3243 Issued in IL

Practice address

5133 Washington St Ste 7
Downers Grove, IL 60515-4757

Phone

(630) 964-9882

Fax

(630) 971-3221

NPI assigned

Apr 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457579054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 WASHINGTON ST STE 7",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154757",
            "telephone_number": "630-964-9882",
            "fax_number": "630-971-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 WASHINGTON ST STE 7",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154757",
            "telephone_number": "630-964-9882",
            "fax_number": "630-971-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "RICHARD",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "19-01-3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D Cabana, DDS
• Leeann Michelle Cacovean, MSN, ACNP
• Elizabeth A Cada, ED OTR L FAOTA
• Cherry Calalang, APN
• Cody Calkins
• Laura Calma, OD
• Cristina Campero, DMD
• Anna Canale, LCPC
• Mary Cannek, M.ED, ED.S
• Felisha Canney, MSW, LSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

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