Active NPI
Conradland, PLLC
- Endodontics
- Westminster, CO
National Provider Identifier
1124515499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN.00203484
- Legal business name
- CONRADLAND, PLLC
- Practice address
- 2861 W 120TH Ave Ste 230
Westminster, CO 80234-2985 - Phone
- (801) 916-0541
- NPI assigned
- Apr 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Conrad Charles Johnson, DMD
- Title
- Member
- Phone
- (801) 916-0541
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DEN.00203484 | CO | Primary |
Addresses
Primary practice location
2861 W 120TH Ave Ste 230
Westminster, CO 80234-2985
Mailing address
2396 Saint Thomas St
New Orleans, LA 70130-2059
Phone (801) 916-0541
Other names 1
- Foothills Endodontic Specialists
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Westminster, CO
- NPI 1689042228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524268800000",
"number": "1124515499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2396 SAINT THOMAS ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701302059",
"telephone_number": "801-916-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 W 120TH AVE STE 230",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342985",
"telephone_number": "801-916-0541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRADLAND, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-21",
"last_updated": "2018-04-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CONRAD",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "801-916-0541",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00203484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foothills Endodontic Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.