Dr Deidre M Callanan, DC is a
Dental Hygienist based in Aurora, Colorado. Dr Deidre M Callanan is licensed to practice in Colorado (license number 000906283) and her current practice location is
13065 E 17th Ave, Aurora, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 724-8290.
NPI number for Dr Deidre M Callanan is 1215983226 and her current mailing address is 155 Union St, Springfield, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215983226.
Healthcare Provider's Profile
| Full Name | Dr Deidre M Callanan |
|---|
| Gender | Female |
|---|
| Speciality | Dental Hygienist |
|---|
| Location | 13065 E 17th Ave, Aurora, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215983226
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Deidre M Callanan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215983226 | NPI | - | NPPES |
| 2121 | Other | MA | LICENSE |
| YY3061 | Other | MA | BCBS INDIVIDUAL # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2121 (Massachusetts) | Secondary |
| 124Q00000X | Dental Hygienist | 000906283 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Deidre M Callanan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Deidre M Callanan, DC
155 Union St,
Springfield, MA 01105-2010
Ph: (413) 732-0088 | Dr Deidre M Callanan, DC
13065 E 17th Ave,
Aurora, CO 80045-2532
Ph: (303) 724-8290 |
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