Active NPI
Karen Colleen Conlin, DDS
- Dentist
- Wilmington, DE
National Provider Identifier
1194820175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE994
- Practice address
- 1202 Foulk Rd
Wilmington, DE 19803 - Phone
- (302) 764-0930
- Fax
- (302) 764-2714
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE994 | DE | Primary |
| Dentist | 122300000X | 18747 | OH |
Addresses
Primary practice location
1202 Foulk Rd
Wilmington, DE 19803
Mailing address
1202 Foulk Rd
Wilmington, DE 19803
Phone (302) 764-0930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE994 | DE | MD | Dentist |
| 18747 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194820175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 FOULK RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19803",
"telephone_number": "302-764-0930",
"fax_number": "302-764-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 FOULK RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19803",
"telephone_number": "302-764-0930",
"fax_number": "302-764-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIN",
"first_name": "KAREN",
"middle_name": "COLLEEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "DE994",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "18747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.