Active NPI
John R Conte, DDS
- General Practice Dentistry
- Gahanna, OH
National Provider Identifier
1285744847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- OH 17478
- Practice address
- 162 A Granville St
Gahanna, OH 43230 - Phone
- (614) 471-4523
- Fax
- (614) 471-3587
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | OH 17478 | OH | Primary |
Addresses
Primary practice location
162 A Granville St
Gahanna, OH 43230
Mailing address
162 A Granville St
Gahanna, OH 43230
Phone (614) 471-4523
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0529799 | Medicaid | OH | |
| 186234 | Other | UNITED CONCORDIA | |
| 311165368026 | Other | CARE SOURCE |
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 |
|---|---|---|---|
| OH 17478 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1285744847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 A GRANVILLE ST",
"city": "GAHANNA",
"state": "OH",
"postal_code": "43230",
"telephone_number": "614-471-4523",
"fax_number": "614-471-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 A GRANVILLE ST",
"city": "GAHANNA",
"state": "OH",
"postal_code": "43230",
"telephone_number": "614-471-4523",
"fax_number": "614-471-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTE",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "OH 17478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0529799",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "186234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "311165368026",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.