R. Sam Callender DDS PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

2851 Issued in CO

Legal business name

R. SAM CALLENDER DDS PC

Practice address

7207 Grandview Ave
Arvada, CO 80002-2505

Phone

(303) 422-3655

Fax

(303) 422-3776

NPI assigned

Jun 20, 2013

Last updated

Jun 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Kassal

Title

Office Manager

Phone

(303) 422-3655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1720427917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GRANDVIEW AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022505",
            "telephone_number": "303-422-3655",
            "fax_number": "303-422-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 GRANDVIEW AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022505",
            "telephone_number": "303-422-3655",
            "fax_number": "303-422-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. SAM CALLENDER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "KASSAL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-422-3655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Arvada, CO
• Providers in Arvada, CO by specialty
• Customized Equipment (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.