Organization Active NPI

Conley Dental Corporation

Doing business as Serramonte Ridge Dental

  • Dental Clinic/Center
  • Daly City, CA
National Provider Identifier
1154805463
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CONLEY DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Dr. Charles D Conley, DMDNPI 1407061617
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.