DR. MICHAEL A CALLAN (NPI# 1124385448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124385448 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A CALLAN |
| Credential | DDS, MS |
| Practice Address |
322 Dental Science Bldg S Iowa City IA 52242-1001 |
| Practice Telephone | 3193357440 |
| Practice Fax Number | 3193357451 |
| Mailing Telephone | 3193357440 |
| Mailing Fax Number | 3193357451 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
07343 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1223X0400X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 314 3rd Ave S, Clinton, IA 527324436 | 5632436622 | 5632421484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568671964 | Michael Douglas Callan | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2007-05-22 |
| Street Address |
322 DENTAL SCIENCE BLDG S |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278551 | Timothy J Holton | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-03-09 |
| 1437636677 | Tarin Piangsuk | Student in an Organized Health Care Education/Training Program | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2018-07-20 |
| 1073090213 | Jhanvi Desai | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2018-07-20 |
| 1356835896 | Jennifer Brittany Feingold | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2018-06-19 |
| 1295225852 | Stephanie Ann Melland | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242 | 2018-05-18 |
| 1255842688 | Wafaa Kattan | Student in an Organized Health Care Education/Training Program | 322 Dental Science Bldg S, Iowa City, IA 52242 | 2017-10-12 |
| 1912425943 | Rohit Unni Nair | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242 | 2017-08-30 |
| 1336689769 | Brittany Gillard | Student in an Organized Health Care Education/Training Program | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2017-03-04 |
| 1306391016 | Ryan Costner | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2016-08-23 |
| 1902208192 | Jed Arbon | Student in an Organized Health Care Education/Training Program | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2014-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486356 | Shankar Rengasamy Venugopalan | Dentist | 322 Dental Science Bldg. S, Iowa City, IA 52242-1001 | 2011-07-05 |
| 1760524565 | Nathan Eric Hall | Dentist | 613 Eastbury Dr Ste 100, Iowa City, IA 52245-7605 | 2007-02-12 |
| 1427135011 | Richard Arthur Perkins | Dentist | 1031 Wade St, Iowa City, IA 52240-6626 | 2006-11-01 |
| 1215017835 | John Mergen Mergen | Dentist | 1509 Mall Dr Ste 1, Iowa City, IA 52240-3111 | 2006-10-17 |
| 1073598918 | James J Wheeler | Dentist | 51300 Pomerantz Family Pavilion, Iowa City, IA 52242 | 2005-12-14 |
| 1306229174 | Gisela Lilian Borget | Dentist | 219 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2015-06-29 |
| 1023446853 | Kyungsup Shin | Dentist | 219 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-10-14 |
| 1366706681 | Sreedevi Srinivasan | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2012-07-02 |
| 1457636375 | David Alan Jones | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-12 |
| 1063640027 | Suzanne Elizabeth Stock | Dentist | 1031 Wade St, Iowa City, IA 52240-6626 | 2009-06-29 |
| Find all providers in IOWA CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.