Active NPI
Conrad, Arne', Lombardo, & Krupa, D.D.S, P.a.
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
National Provider Identifier
1184941189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2174
- Legal business name
- CONRAD, ARNE', LOMBARDO, & KRUPA, D.D.S, P.A.
- Practice address
- 7971 Market St
Wilmington, NC 28411-9383 - Phone
- (910) 762-1555
- Fax
- (910) 251-1721
- NPI assigned
- Apr 29, 2010
- 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
- Dr. Bruce C Arne', D. D. S.
- Title
- Corporate Secretary
- Phone
- (910) 762-1555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2174 | NC | Primary |
Addresses
Primary practice location
7971 Market St
Wilmington, NC 28411-9383
Mailing address
1510 Medical Center Dr
Wilmington, NC 28401-7506
Phone (910) 762-1555
Other names 1
- Coastal Carolina Oral and Maxillofacial Surgery
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Carolina Oral and Maxillofacial Surgery
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
- NPI 1811212103
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
- NPI 1588982854
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
- NPI 1306971882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1184941189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017506",
"telephone_number": "910-762-1555",
"fax_number": "910-251-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7971 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119383",
"telephone_number": "910-762-1555",
"fax_number": "910-251-1721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD, ARNE', LOMBARDO, & KRUPA, D.D.S, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "ARNE'",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "910-762-1555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. D. S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "2174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Carolina Oral and Maxillofacial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.