Devan Callaway, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015394 Issued in GA

Practice address

3415 Highway 120
Duluth, GA 30096-3354

Phone

(770) 476-2400

NPI assigned

Jun 2, 2017

Sex

Male

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

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.

• Lail Family Dentistry P.C.

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1699314955
  NPD (past)

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1790213825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 SUGARLOAF RESERVE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974054",
            "telephone_number": "706-436-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HIGHWAY 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963354",
            "telephone_number": "770-476-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "DEVAN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C.U.R.E. Therapy & Consulting LLC
• Adrienne Cabral
• Ogundele Cain, RBT
• Christopher Louis Caldwell Jr., NP
• Julia Callahan, MS, RD, LD
• Jalyn Calloway
• Mariam Camara
• Rosa Maria Camarillo
• Zachary Allen Cammarano, PT, DPT
• Brittney Monet Campbell

• General Practice Dentistry in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.