Jodeen Fay Callaghan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0006249 Issued in WA

Practice address

4900 Idaho St
Vancouver, WA 98661-6330

Phone

(360) 696-9009

Fax

(360) 896-4489

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891720306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 IDAHO ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616330",
            "telephone_number": "360-696-9009",
            "fax_number": "360-896-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 IDAHO ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616330",
            "telephone_number": "360-696-9009",
            "fax_number": "360-896-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "JODEEN",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "0006249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khyla Mae Calhoun, ARNP
• David Califf, PMHNP
• Jamie Laine Califf, LMHC, NCC
• Monica Calizo
• Brenda Call, OCCUPATIONAL THERAPI
• Connie Jean Callahan, RN
• Cynthia Diane Callahan, L.M.P.
• Elizabeth Callahan, MD
• Molly M Callahan, MS
• Lorene H Callaway, LMP

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.