NPIMap

Organization Active NPI

Conkey Moberger Patel Dentistry Partnership LLC

  • General Practice Dentistry
  • Gahanna, OH
National Provider Identifier
1265586937
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30020174 Issued in OH
Legal business name
CONKEY MOBERGER PATEL DENTISTRY PARTNERSHIP LLC
Practice address
925 N. Hamilton Rd.
Suite 200
Gahanna, OH 43230-8710
Phone
(614) 476-6696
Fax
(614) 476-5366
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Charles Albert Conkey, DDSNPI 1447304241
Title
Partner
Phone
(614) 476-6696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 30020174 OH Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 30019963 OH
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 30019663 OH
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3002219 OH

Addresses

Primary practice location

925 N. Hamilton Rd.
Suite 200
Gahanna, OH 43230-8710

Mailing address

925 N. Hamilton Rd.
Suite 200
Gahanna, OH 43230-8710
Phone (614) 476-6696

Other names 1

  • Levy Conkey Moberger Dentistry Partnership Former legal business name

National Provider Directory

National Provider Directory

Locations

925 N Hamilton Rd
Ste 200
Gahanna, OH 43230
Phone (614) 476-6696

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1265586937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N. HAMILTON RD.",
            "address_2": "SUITE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308710",
            "telephone_number": "614-476-6696",
            "fax_number": "614-476-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N. HAMILTON RD.",
            "address_2": "SUITE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308710",
            "telephone_number": "614-476-6696",
            "fax_number": "614-476-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONKEY MOBERGER PATEL DENTISTRY PARTNERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "CONKEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-476-6696",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020174",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30019963",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30019663",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3002219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levy Conkey Moberger Dentistry Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.