Organization Active NPI

Callahan Health Group Inc

Doing business as Callahan Family Dentistry

  • Preferred Provider Organization
  • Callahan, FL
National Provider Identifier
1891958393
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
CALLAHAN HEALTH GROUP INC
Doing business as
Callahan Family Dentistry
Practice address
449621 US Highway 301
Suite 210
Callahan, FL 32011-9348
Phone
(904) 998-7000
Fax
(904) 998-7702
NPI assigned
Jul 3, 2008
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mrs. Crystal Love Less
Title
VP of Operations
Phone
(904) 879-1893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

449621 US Highway 301
Suite 210
Callahan, FL 32011-9348

Mailing address

3545-1 St. Johns Bluff Rd. S.
Suite 352
Jacksonville, FL 32224
Phone (904) 998-7000

Other names 1

  • Callahan Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

449621 US Highway 301
#210
Callahan, FL 32011
Phone (904) 879-1893

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1891958393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545-1 ST. JOHNS BLUFF RD. S.",
            "address_2": "SUITE 352",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449621 US HIGHWAY 301",
            "address_2": "SUITE 210",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320119348",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LESS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "904-879-1893",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callahan Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Callahan, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.