Cari Allison Callaway-Nelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4757T Issued in NV

Practice address

7175 N. Durango Dr
#150
Las Vegas, NV 89117

Phone

(702) 658-2311

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710050638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 S DURANGO DR",
            "address_2": "#110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132079",
            "telephone_number": "240-426-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 N. DURANGO DR",
            "address_2": "#150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-658-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY-NELSON",
        "first_name": "CARI",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4757T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Callanan, PA-C
• Alexandra Louisse Panganiban Callanta, FNP-C
• Rafael Espique Callanta, NURSE PRACTITIONER
• Callaway-Nelson Centennial Modern Dentistry, PC (Centennial Modern Dentistry and Orthodontics)
• Callaway-Nelson Flamingo Smiles, PC (Flamingo Smiles)
• Donna Renee Callaway, D.C.
• Randall Callaway, M.S., MFT
• Karim R Calle, LCSW
• Emma Delia Calleja Nunez
• Milanie Calleja

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.