Individual provider Active NPI

Hannah Callen

  • Pediatric Dentistry
  • Greeley, CO
National Provider Identifier
1659810232
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN.00204880 Issued in CO
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

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106003508 CO Practitioner - Dentist 0446595094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00204880COMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Callen Pediatric Dental, PLLC Pediatric Dentistry Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Dec 1, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Dec 1, 2024 Accepting new patients
Brighton Modern Dentistry and Orthodontics, LLP PastSince Oct 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.