Maureen Callender, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60285867 Issued in WA

Practice address

3422 12TH Ave NE
Olympia, WA 98506-5175

Phone

(360) 459-5885

NPI assigned

Sep 2, 2011

Sex

Female

Sole proprietor

No

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 WA

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

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1790066827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065175",
            "telephone_number": "360-459-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065175",
            "telephone_number": "360-459-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 NE 74th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981158158",
            "country_code": "US",
            "telephone_number": "360-543-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60285867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Caldwell, MS
• Rebecca Jo Caldwell
• Morgan Caley, LMP
• Stacey Lynn Callaghan, LM,CPM,ICCE,CD,CLE
• Ann Langdon Callaway
• Neil Hilton Calmjoy, LICSW
• Marla Louise Calvert, M.D.
• Sarah Terese Calvert, MD
• Arnold Reyes Camacho Sr., MSW
• Jenitza Z Camacho

• Dentist in Olympia, WA
• Providers in Olympia, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.