Caitlin J Callahan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10185 Issued in SC

Practice address

100 Regent Park CT
Greenville, SC 29607-6534

Phone

(864) 234-3424

NPI assigned

Jun 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Ashby Park Pediatric Dentistry

  • Pediatric Dentistry
  • Greenville, SC
  • NPI 1598892028
  NPD (past)
• Dentistry for Children of South Carolina PC

  • Dentist
  • Greenville, SC
  • NPI 1740788611
  NPD (past)

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1679093264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 REGENT PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076534",
            "telephone_number": "864-234-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 REGENT PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076534",
            "telephone_number": "864-234-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Alcoa Highway",
            "address_2": "General Dentistry Med Building A Suite 340",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379206999",
            "country_code": "US",
            "telephone_number": "865-305-9440",
            "fax_number": "865-305-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 E Division Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "37830",
            "country_code": "US",
            "telephone_number": "865-272-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CAITLIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10185",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Edith Calixte, M.D.
• Mincs Elie Calixte, M.D.
• Mark Douglas Call, M.D.
• Laura Anne Callaham, FNP
• Rebecca B Callaham, LPC
• Ethan Callahan, RBT
• Jennifer Callahan, MSP, CCC-SLP
• Kathleen Marie Callahan, CRNA
• Margret Lynette Callahan
• Roz Callahan

• All providers in Greenville, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.