Conrad V. Hibbert, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13088 Issued in FL

Legal business name

CONRAD V. HIBBERT, DMD, PA

Practice address

10794 Pines Blvd
Building 1, Suite 103
Pembroke Pines, FL 33026-3920

Phone

(954) 435-6636

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Conrad V Hibbert, DMDNPI 1245448307

Title

Dentist

Phone

(954) 435-6636

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Conrad V Hibbert, DMD

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1245448307
  Authorized official Same address or phone
• Kalamodeen Juman, DDS

  • Dentist
  • Astoria, NY
  • NPI 1871750760

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134253040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "BUILDING 1, SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-435-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "BUILDING 1, SUITE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-435-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD V. HIBBERT, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-435-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeneene Marie Connelly, MS, RDN, LDN
• Juanita Sabrina Conner-Raines, LCSW
• Carmen Daniela Connolly, P.A.
• John Stuart Connolly, DPT
• Elizabeth Connors, M.S. ATC
• John James Consiglio Jr., P.A.-C.
• Consulting Psychologists of South Florida, Inc.
• Contigo Healthcare LLC
• Continual Care Facility
• Continucare Medical Center

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.