Active NPI
Remi Conley
- Dentist
- Melbourne, FL
National Provider Identifier
1013693142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30673
- Practice address
- 2328 Citadel Way Ste 101
Melbourne, FL 32940-6192 - Phone
- (321) 203-5251
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30673 | FL | Primary |
Addresses
Primary practice location
2328 Citadel Way Ste 101
Melbourne, FL 32940-6192
Mailing address
2328 Citadel Way Ste 101
Melbourne, FL 32940-6192
Phone (212) 998-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250916003940 | FL | Order and Referring Only - Dentist | 1153825849 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viera Modern Dentistry, PA | Dentist | Past | Accepting new patients |
Networks
- FL HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Melbourne, FL
- NPI 1144746116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1013693142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 CITADEL WAY STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329406192",
"telephone_number": "212-998-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2328 CITADEL WAY STE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329406192",
"telephone_number": "321-203-5251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "REMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.