Conor Scanlon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11836 Issued in OR

Practice address

1740 W 17TH Ave
Eugene, OR 97402-3619

Phone

(458) 228-3271

NPI assigned

Jul 10, 2023

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hammonton, NJ
  • NPI 1659085678
  Medicare reassignment NPD
• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Linwood, NJ
  • NPI 1255064044
  NPD
• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Rio Grande, NJ
  • NPI 1649984675
  NPD
• Rehabclinics SPT Inc

  • Physical Therapy Clinic/Center
  • Manahawkin, NJ
  • NPI 1043271216
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1306524368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023619",
            "telephone_number": "458-210-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023619",
            "telephone_number": "458-228-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "CONOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arreanna Saylor
• Nathan Wayne Scadlock, DNP, ARNP
• Kamillah Scales, LPC, NCC
• Julie Scalisi, R.D.
• Raymond Scott Scampini, LCSW
• Scarborough Medical Care LLC
• Maria Schaad
• Jordan Leonard Schaefer-Limbach, BA, QMHA
• Nicholson Erin Schaefer-Limbach, BA, CADC 1, QMHA
• Brittany Noelle Schaefer

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.