Julie R Callum, DMD,PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

18299 Issued in MA

Practice address

81 Broad St # R
Lynn, MA 01902-5020

Phone

(781) 593-7665

NPI assigned

Sep 4, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Julie R Callum DMD PC

  • Prosthodontics
  • Lynn, MA
  • NPI 1427033422
  NPD (past) Authorized official

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1558555490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BROAD ST # R",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025020",
            "telephone_number": "781-593-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BROAD ST # R",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025020",
            "telephone_number": "781-593-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLUM",
        "first_name": "JULIE",
        "middle_name": "R",
        "credential": "DMD,PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "18299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "18299",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "X10992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Calder
• Karen Elizabeth Caldwell, MD-PHD
• Yelena Caldwell
• Susan Noelker Calhoun, RN
• Kevin J Callahan, MD
• Juliana Cameli
• Jennifer Camp, LICSW
• Alain Lester Campbell, M.D.
• Melissa Campbell, M.S.
• Rebecca Lee Campbell

• Prosthodontics in Lynn, MA
• Providers in Lynn, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.