Active NPI
Hannah Callen
- Pediatric Dentistry
- Greeley, CO
National Provider Identifier
1659810232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00204880
- Practice address
- 5100 W 20TH St Ste B
Greeley, CO 80634-3051 - Phone
- (970) 373-4435
- Fax
- (970) 771-8150
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN.00204880 | CO | Primary |
Addresses
Primary practice location
5100 W 20TH St Ste B
Greeley, CO 80634-3051
Mailing address
5100 W 20TH St Ste B
Greeley, CO 80634-3051
Phone (970) 373-4435
Other practice location 1
660 Bannock St # L
Denver, CO 80204-4506
Phone (303) 436-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204880 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callen Pediatric Dental, PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Brighton Modern Dentistry and Orthodontics, LLP | Past | Accepting new patients |
Locations
777 Bannock St
#1923
Denver, CO 80204
Phone (303) 602-2720
777 Bannock St
Denver, CO 80204
5100 W 20th St
Ste B
Greeley, CO 80634
Phone (970) 372-0277
Interoperability endpoints
- hcallen306045@direct.dhha.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Pediatric Dentistry
- Greeley, CO
- NPI 1992512974
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- General Practice Dentistry
- Brighton, CO
- NPI 1316223662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1659810232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W 20TH ST STE B",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343051",
"telephone_number": "970-373-4435",
"fax_number": "970-771-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W 20TH ST STE B",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343051",
"telephone_number": "970-373-4435",
"fax_number": "970-771-8150"
}
],
"practiceLocations": [
{
"address_1": "660 Bannock St # L",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802044506",
"country_code": "US",
"telephone_number": "303-436-4949",
"fax_number": "303-602-8176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLEN",
"first_name": "HANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00204880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.