Organization Active NPI

Conradland, PLLC

  • Endodontics
  • Westminster, CO
National Provider Identifier
1124515499
Registry record updated Apr 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DEN.00203484 Issued in CO
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

Updated by the provider on Apr 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Conrad Charles Johnson, DMDNPI 1689042228
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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.