Active NPI
Callery Dental Care, LLC
- General Practice Dentistry
- Mechanicsburg, PA
National Provider Identifier
1790388080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CALLERY DENTAL CARE, LLC
- Practice address
- 1001 S Market St Ste F
Mechanicsburg, PA 17055-4748 - Phone
- (717) 766-7025
- NPI assigned
- Nov 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah E Callery, DDS
- Title
- Dentist/Owner
- Phone
- (518) 312-7922
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1001 S Market St Ste F
Mechanicsburg, PA 17055-4748
Mailing address
1001 S Market St Ste F
Mechanicsburg, PA 17055-4748
Phone (717) 766-7025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS040384 | Other | PA | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
1001 S Market St
Ste F
Mechanicsburg, PA 17055
Phone (717) 766-7025
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Mechanicsburg, PA
- NPI 1124408505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1790388080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S MARKET ST STE F",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554748",
"telephone_number": "717-766-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S MARKET ST STE F",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554748",
"telephone_number": "717-766-7025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALLERY DENTAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "CALLERY",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "518-312-7922",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DS040384",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.