Active NPI
Samantha Callahan, D.D.S.
- Dentist
- Phoenix, AZ
National Provider Identifier
1851383848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9185
- Practice address
- 475 E Bell Rd
Suite 150
Phoenix, AZ 85022-2348 - Phone
- (623) 866-5581
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DN11078 | GA | |
| General Practice Dentistry | 1223G0001X | 06016 | NC | |
| Dentist | 122300000X | 9185 | AZ | Primary |
Addresses
Primary practice location
475 E Bell Rd
Suite 150
Phoenix, AZ 85022-2348
Mailing address
33600 N 27TH Dr
Unit #1012
Phoenix, AZ 85085-7771
Phone (770) 855-3045
Other names 1
- Dr. Samantha Callahan
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 |
|---|---|---|---|
| DN11078 | GA | MD | Public Health Dentist |
| 06016 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1851383848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33600 N 27TH DR",
"address_2": "UNIT #1012",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850857771",
"telephone_number": "770-855-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 E BELL RD",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222348",
"telephone_number": "623-866-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "GA",
"license": "DN11078",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "06016",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "CALLAHAN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.