Active NPI
Conley Dental Corporation
Doing business as Serramonte Ridge Dental
- Dental Clinic/Center
- Daly City, CA
National Provider Identifier
1154805463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CONLEY DENTAL CORPORATION
- Doing business as
- Serramonte Ridge Dental
- Practice address
- 901 Campus Dr Ste 304
Daly City, CA 94015-4930 - Phone
- (650) 756-1900
- Fax
- (650) 756-9287
- NPI assigned
- Sep 21, 2018
- Last updated
- May 1, 2026
- Organization subpart
- Yes
- Parent organization
- CONLEY DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles D Conley, DMD
- Title
- Owner/Dentist
- Phone
- (415) 347-7177
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
901 Campus Dr Ste 304
Daly City, CA 94015-4930
Mailing address
89 Teddy Ave
San Francisco, CA 94134-2345
Phone (415) 347-7177
Other names 1
- Serramonte Ridge Dental
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231020002695 | CA | DME Supplier - Oral Surgery - Dentist | 4880040203 | Practice locations: Daly City, CA |
National Provider Directory
National Provider Directory- Part of
- Conley Dental Corporation
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Daly City, CA
- NPI 1407061617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1154805463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 TEDDY AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941342345",
"telephone_number": "415-347-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPUS DR STE 304",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154930",
"telephone_number": "650-756-1900",
"fax_number": "650-756-9287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONLEY DENTAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CONLEY DENTAL CORPORATION",
"enumeration_date": "2018-09-21",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "CONLEY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "415-347-7177",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serramonte Ridge Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.