Organization Active NPI

Sean M Callahan MD PLLC

  • Otolaryngology Physician
  • Lewisville, TX
National Provider Identifier
1629325352
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
P0704 Issued in TX
Legal business name
SEAN M CALLAHAN MD PLLC
Practice address
324 W Main St
Suite 100
Lewisville, TX 75057-3866
Phone
(972) 420-7212
Fax
(972) 420-8812
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Dr. Sean Michael Callahan, M.D.
Title
Physician
Phone
(972) 420-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X P0704 TX Primary

Addresses

Primary practice location

324 W Main St
Suite 100
Lewisville, TX 75057-3866

Mailing address

324 W Main St
Suite 100
Lewisville, TX 75057-3866
Phone (972) 420-7212

National Provider Directory

National Provider Directory

Locations

324 W Main St
Ste 100
Lewisville, TX 75057
Phone (972) 420-7212

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1629325352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-420-7212",
            "fax_number": "972-420-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-420-7212",
            "fax_number": "972-420-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN M CALLAHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-420-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "P0704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.