Active NPI
Justina Marie Conrad, DVM
- Veterinarian
- Cedar Rapids, IA
National Provider Identifier
1215275706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 7631
- Practice address
- 3434 Midway Dr NW
Cedar Rapids, IA 52405-3506 - Phone
- (319) 396-7800
- Fax
- (319) 396-3849
- NPI assigned
- Jan 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 7631 | IA | Primary |
Addresses
Primary practice location
3434 Midway Dr NW
Cedar Rapids, IA 52405-3506
Mailing address
3434 Midway Dr NW
Cedar Rapids, IA 52405-3506
Phone (319) 396-7800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7631 | IA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1215275706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 MIDWAY DR NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524053506",
"telephone_number": "319-396-7800",
"fax_number": "319-396-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 MIDWAY DR NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524053506",
"telephone_number": "319-396-7800",
"fax_number": "319-396-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JUSTINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "IA",
"license": "7631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.