Active NPI
John R Callahan DDS Assoc
- Dentist
- Ridley Park, PA
National Provider Identifier
1972511947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- PA 12658
- Legal business name
- JOHN R CALLAHAN DDS ASSOC
- Practice address
- 101 E Ward Ave
Ridley Park, PA 19078 - Phone
- (610) 532-3921
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Callahan, DDS
- Title
- Pres John C Callahan DDS Assoc
- Phone
- (610) 532-3921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PA 12658 | PA | Primary |
Addresses
Primary practice location
101 E Ward Ave
Ridley Park, PA 19078
Mailing address
101 E Ward Ave
Ridley Park, PA 19078
Phone (610) 532-3921
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972511947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E WARD AVE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-532-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WARD AVE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-532-3921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN R CALLAHAN DDS ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRES JOHN C CALLAHAN DDS ASSOC",
"authorized_official_telephone_number": "610-532-3921",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "PA 12658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.