Thomas Earl Conley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

G-1 0000822 Issued in DE

Practice address

18913 John J Williams Hwy
Rehoboth Beach, DE 19971-4404

Phone

(302) 645-6671

Fax

(302) 645-2537

NPI assigned

Dec 19, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maplewood Dental Associates

  • Dentist
  • Rehoboth Beach, DE
  • NPI 1306974282
  NPD (past) Authorized official
• Maplewood Dental LLC

  • Dentist
  • Rehoboth Beach, DE
  • NPI 1578691838
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215090386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30483 E MILL RUN",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683457",
            "telephone_number": "302-645-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18913 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714404",
            "telephone_number": "302-645-6671",
            "fax_number": "302-645-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "THOMAS",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G-1 0000822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000893208",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Kids Pediatric Dentistry, LLC
• Coastal Neuropsychology and Treatment Center LLC
• Collaborative Mental Health, LLC (Collaborative Mental Health DE)
• Peter B Collis, MD
• Candace Conaway, FNP-C
• Laurie A Conti, O.D.
• Anne Dee Conway, RN
• Frederick Cook, MD
• Jacqueline Marie Cooke, MSN, RNC, APN
• Jeffrey Michael Cooper, D.M.D.

• Dentist in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.