Callaghan Richard David McDonough

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

32932 Pacific Coast Hwy Ste 19
Dana Point, CA 92629-3467

Phone

(949) 487-7779

NPI assigned

Mar 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1871295436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33821 CHULA VISTA AVE",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292241",
            "telephone_number": "949-429-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32932 PACIFIC COAST HWY STE 19",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293467",
            "telephone_number": "949-487-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "CALLAGHAN",
        "middle_name": "RICHARD DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mata
• Benjamin Allan Maxson, AMFT
• Maya B Kaura M D Inc
• Irasema McAllister
• Emi McCarter
• Kelly Franklyn McDonough, DDS
• Meghan Dianne McDonough, DDS
• Sinead Anne McGurrin, PT
• Kate McHenry
• Meachum Dental Corporation

• Student in an Organized Health Care Education/Training Program in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.