NPIMap

Organization Active NPI

Craig C Callewart MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1457596561
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
H2283 Issued in TX
Legal business name
CRAIG C CALLEWART MD PA
Practice address
9101 N. Central Expwy.
Suite 360
Dallas, TX 75231
Phone
(214) 271-4585
Fax
(214) 271-4581
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Craig C Callewart, M.D.NPI 1487611620
Title
President/Owner
Phone
(214) 271-4585

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
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X H2283 TX Primary

Addresses

Primary practice location

9101 N. Central Expwy.
Suite 360
Dallas, TX 75231

Mailing address

16970 Dallas Pkwy
Suite 500
Dallas, TX 75248-1915
Phone (214) 271-4585

Other practice location 1

17051 Dallas Pkwy Ste 420
Addison, TX 75001-7115
Phone (214) 271-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090316000438 TX Part B Supplier - Clinic/Group Practice 0244397495 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX
O20100930079461 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0244397495 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1457596561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16970 DALLAS PKWY",
            "address_2": "SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481915",
            "telephone_number": "214-271-4585",
            "fax_number": "214-271-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N. CENTRAL EXPWY.",
            "address_2": "SUITE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-271-4585",
            "fax_number": "214-271-4581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17051 Dallas Pkwy Ste 420",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017115",
            "country_code": "US",
            "telephone_number": "214-271-4585",
            "fax_number": "214-271-4581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRAIG C CALLEWART MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "CALLEWART",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-271-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "H2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.