Organization Active NPI

Callery Dental Care, LLC

  • General Practice Dentistry
  • Mechanicsburg, PA
National Provider Identifier
1790388080
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Dr. Sarah E Callery, DDSNPI 1124408505
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DS040384OtherPADENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.