Daniel Gerard Callahan, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

55-377 Issued in WI

Practice address

5605 Washington Ave Ste 9
Mt Pleasant, WI 53406-4056

Phone

(262) 554-4522

NPI assigned

Mar 1, 2019

Last updated

Mar 1, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1487111035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 95TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447718",
            "telephone_number": "262-859-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 WASHINGTON AVE STE 9",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064056",
            "telephone_number": "262-554-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DANIEL",
        "middle_name": "GERARD",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "55-377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE NUMBER",
            "identifier": "55-377",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.