Organization Active NPI

Callen Pediatric Dental, PLLC

  • Pediatric Dentistry
  • Greeley, CO
National Provider Identifier
1992512974
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CALLEN PEDIATRIC DENTAL, PLLC
Practice address
5100 W 20TH St Ste B
Greeley, CO 80634-3051
Phone
(970) 373-4435
NPI assigned
Dec 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Hannah Callen, DDSNPI 1659810232
Title
Pediatric Dentist
Phone
(914) 960-3162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5100 W 20TH St Ste B
Greeley, CO 80634-3051

Mailing address

5100 W 20TH St Ste B
Greeley, CO 80634-3051
Phone (970) 373-4435

National Provider Directory

National Provider Directory

Locations

5100 W 20th St
Ste B
Greeley, CO 80634
Phone (970) 372-0277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1992512974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 20TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343051",
            "telephone_number": "970-373-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W 20TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343051",
            "telephone_number": "970-373-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLEN PEDIATRIC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "CALLEN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "914-960-3162",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.