Active NPI
Latoya Callahan, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laurel, MD
National Provider Identifier
1801993530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 16218
- Practice address
- 13600 Baltimore Ave Ste 200
Laurel, MD 20707-9495 - Phone
- (410) 844-3939
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052600-1 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 16218 | MD | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 052600 | NY |
Addresses
Primary practice location
13600 Baltimore Ave Ste 200
Laurel, MD 20707-9495
Mailing address
9015 Queens Blvd
Apt 2F
Elmhurst, NY 11373-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16218 | MD | MD | Social Worker |
| 052600-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breezy Hill Ortho Group, LLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
3905 National Dr
Ste 340
Burtonsville, MD 20866
Phone (301) 421-1300
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Burtonsville, MD
- NPI 1073330726
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1801993530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9015 QUEENS BLVD",
"address_2": "APT 2F",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13600 BALTIMORE AVE STE 200",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079495",
"telephone_number": "410-844-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "LATOYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052600-1",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "16218",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "052600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.