Amy Maria O'Callaghan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

010941 Issued in CT

Practice address

828 Newfield St
Middletown, CT 06457-1857

Phone

(608) 613-0553

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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.

• Dr. Amy O'Callaghan, LLC

  • Dental Clinic/Center
  • New Haven, CT
  • NPI 1427658228
  NPD Authorized official

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1811209604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 NEWFIELD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571857",
            "telephone_number": "608-613-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 NEWFIELD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571857",
            "telephone_number": "608-613-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CALLAGHAN",
        "first_name": "AMY",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056104",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "010941",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurses at Home
• Elizabeth Nuzzo
• Chidimma Nwagwu, RN
• Cassidy Ward O'Brien, LMSW
• Patricia M O'Brien, APRN
• Cliff O'Callahan, M.D., PH.D.
• Sarah H O'Connell, M.D.
• Ryan M O'Connor, M.D.
• Cheyenne O'Donnell, APRN
• Sean J O'Donnell, MD

• Pediatric Dentistry in Middletown, CT
• Providers in Middletown, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.