DR. TIMOTHY BRADLEY CALLAHAN (NPI# 1780045112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780045112 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY BRADLEY CALLAHAN |
| Credential | DDS |
| Practice Address |
2435 Plantation Center Dr Ste 100 Matthews NC 28105-5148 |
| Mailing Address |
3400 Paxton Ridge Dr Indian Trail NC 28079-4246 |
| Practice Telephone | 7048477426 |
| Mailing Telephone | 7049063495 |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10674 | NC | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Gc 5114, Augusta, GA 309120004 | 7067212251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275633836 | Timothy Patrick Callahan | Dentist | 1801 Oakland Blvd Ste 120, Walnut Creek, CA 94596-7001 | 2006-09-24 |
| 1427064799 | Timothy Adam Callahan | Physician Assistant | 894 E 100 N, Suite 3, Price, UT 84501-2711 | 2006-07-31 |
| 1437505567 | Timothy Callahan | Specialist/Technologist | 2252 N 44th St, Apt 3099, Phoenix, AZ 85008-3200 | 2016-05-07 |
| 1861850026 | Timothy Callahan | Psychologist | 360 E Enon Rd, Yellow Springs, OH 45387-1415 | 2016-02-03 |
| 1447621586 | Timothy Callahan | Counselor | 2630 E Chestnut Ave, Vineland, NJ 08361-8400 | 2015-10-15 |
| Street Address |
2435 PLANTATION CENTER DR STE 100 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484484 | Bhrita Parikh | Dentist | 11507 Glanmire Dr, Matthews, NC 28105-0068 | 2020-07-17 |
| 1023633773 | Sara Lucia Baquero Nunez | Dentist | 10808 Monroe Rd, Matthews, NC 28105-7305 | 2020-06-09 |
| 1093221640 | A. K. Richardson and Asssociates, P.a. | Dentist | 2335 Matthews Township Pkwy Ste 111, Matthews, NC 28105-2403 | 2017-12-19 |
| 1497900559 | Alan Godel D.d.s Pa | Dentist | 417 Willow Brook Dr, Matthews, NC 28105-1831 | 2008-11-17 |
| 1578734422 | Sousan M Amiri | Dentist | 2308 Big Pine Dr, Matthews, NC 28105-6762 | 2008-03-19 |
| 1316131006 | Yuriy Z Koval | Dentist | 1250 Mann Dr, Suite 100, Matthews, NC 28105-5543 | 2007-09-05 |
| 1609094721 | Stacy Oller Forrest | Dentist | 7900 Stevens Mill Rd # I, Matthews, NC 28104-2929 | 2007-04-23 |
| 1215154455 | Donald P. Adams | Dentist | 201 E Matthews Street, Matthews, NC 28105 | 2007-04-19 |
| 1508082421 | M. Brad Forrest & Stacy Oller Forrest, Dmd, Pa | Dentist | 7900 Stevens Mill Road, Ste I, Matthews, NC 28104-2929 | 2007-04-18 |
| 1134344609 | Drs. Patel, Alston & Associates I, P.a. | Dentist | 2335 Matthews Twp Parkway, Suite #111, Matthews, NC 28105-2360 | 2007-04-17 |
| Find all providers in MATTHEWS | ||||
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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.