NICHOLAS CALLAHAN MPH DMD MD – NPI #1083920227
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

NICHOLAS CALLAHAN is an oral & maxillofacial surgeon located in CHICAGO, IL. NPPES has assigned the NPI number 1083920227 to NICHOLAS CALLAHAN on August 25, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 2 years ago on Feb 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS CALLAHAN below.

NPI Profile for
NICHOLAS CALLAHAN

NPI Number
1083920227
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS CALLAHAN
Credentials
MPH DMD MD
Primary location
801 S PAULINA ST
CHICAGO, IL 60612
Phone: (312) 413-2379 Fax: (312) 996-5987
1 Other location(s):
451 Clarkson Ave
Dental Clinic
Brooklyn, NY 11203-2054
Phone: (718) 245-4914
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)		 IL 036147058
1223S0112X
- Dentist / Oral and Maxillofacial Surgery		 IL 019031599

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICHOLAS CALLAHAN is affiliated with the following medical group(s):
  • HOSPITAL
    • UNIVERSITY OF ILLINOIS HOSPITAL
      1740 WEST TAYLOR ST SUITE 1400
      CHICAGO, IL 60612

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