Matthew James Callan, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE60486958 Issued in WA

Practice address

2530 Perry Ave Ste 100
Bremerton, WA 98310-5219

Phone

(360) 479-4050

Fax

(360) 377-4337

NPI assigned

Apr 30, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matthew Callan DDS PLLC

  • Oral and Maxillofacial Pathology Dentistry
  • Bremerton, WA
  • NPI 1730653197
  NPD Authorized official
• Gary R Feldman DDS MD PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
  • NPI 1295257384
  NPD (past)
• Barzman, Kasimov & Vieth D.D.S.P.C.

  • General Practice Dentistry
  • Getzville, NY
  • NPI 1275673998
  NPD (past)

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1992022925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 PERRY AVE STE 100",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105219",
            "telephone_number": "360-479-4050",
            "fax_number": "360-377-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 PERRY AVE STE 100",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983105219",
            "telephone_number": "360-479-4050",
            "fax_number": "360-377-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60486958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Calairo
• Lisa Caldwell
• Ramona L. Caliva, DPM
• Stanford Call, ARNP
• Jennifer Ann Callahan, LMP
• Ashliyn Dawn Camacho
• Cecelia Lilie Camacho
• Mark Camacho
• Gian Camaganacan
• Rachel Lynn Camelin, BSN, RN

• Oral and Maxillofacial Surgery (Dentist) in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.