Active NPI
Patricia Veronika Conn, D.D.S.
- Dentist
- Ferndale, WA
National Provider Identifier
1033348271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE 60034327
- Practice address
- 2372 Main St
Ferndale, WA 98248-9212 - Phone
- (360) 384-5902
- Fax
- (360) 384-5732
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | DE 60034327 | WA | Primary |
Addresses
Primary practice location
2372 Main St
Ferndale, WA 98248-9212
Mailing address
2372 Main St
P.O. Box 877
Ferndale, WA 98248-9212
Phone (360) 384-5902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60034327 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1033348271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2372 MAIN ST",
"address_2": "P.O. BOX 877",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982489212",
"telephone_number": "360-384-5902",
"fax_number": "360-384-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2372 MAIN ST",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982489212",
"telephone_number": "360-384-5902",
"fax_number": "360-384-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "PATRICIA",
"middle_name": "VERONIKA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE 60034327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.