Individual provider Active NPI

Samuel Strong Callister, DMD

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1851221048
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-00208 Issued in KY
Practice address
633 Hugging Bear Dr
Lexington, KY 40509-4392
Phone
(801) 380-3154
NPI assigned
May 20, 2026
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-00208 KY Primary

Addresses

Primary practice location

633 Hugging Bear Dr
Lexington, KY 40509-4392

Mailing address

633 Hugging Bear Dr
Lexington, KY 40509-4392
Phone (801) 380-3154

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

LicenseStateTypeSpecialty
D-00208KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1851221048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 HUGGING BEAR DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094392",
            "telephone_number": "801-380-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 HUGGING BEAR DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094392",
            "telephone_number": "801-380-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISTER",
        "first_name": "SAMUEL",
        "middle_name": "STRONG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "D-00208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.