Active NPI
George D. Conard Jr., D.D.S.
- General Practice Dentistry
- Huntington, WV
National Provider Identifier
1225058886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2640
- Practice address
- 1562 E Pea Ridge Rd.
Huntington, WV 25705-7685 - Phone
- (304) 736-4794
- Fax
- (304) 736-1135
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2640 | WV | Primary |
Addresses
Primary practice location
1562 E Pea Ridge Rd.
Huntington, WV 25705-7685
Mailing address
1562 E Pea Ridge Rd.
Huntington, WV 25705-7685
Phone (304) 736-4794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000762872 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0136752000 | Medicaid | WV |
Other names 1
- Dr. Buck Conard
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer T. Daniel, DDS, Incorporated | General Practice | Past | Accepting new patients |
| Huntington Dental PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Huntington, WV
- NPI 1962933887
-
- General Practice Dentistry
- Huntington, WV
- NPI 1659769057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1225058886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 E PEA RIDGE RD.",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257057685",
"telephone_number": "304-736-4794",
"fax_number": "304-736-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 E PEA RIDGE RD.",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257057685",
"telephone_number": "304-736-4794",
"fax_number": "304-736-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONARD",
"first_name": "GEORGE",
"middle_name": "D.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "2640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000762872",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136752000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BUCK",
"last_name": "CONARD",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.