Individual provider Active NPI

Shawn Conrad

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
National Provider Identifier
1306971882
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6326 Issued in NC
Practice address
7320 Market St
Wilmington, NC 28411-9881
Phone
(910) 386-5003
Fax
(910) 681-1184
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6326 NC Primary

Addresses

Primary practice location

7320 Market St
Wilmington, NC 28411-9881

Mailing address

7320 Market St
Wilmington, NC 28411-9881
Phone (910) 386-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000254 NC Practitioner - Oral Surgery 1052572088 Reassigns benefits to 1 organization
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6326NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Wilson and Kelly, PLLC Oral and Maxillofacial Surgery CurrentSince Sep 1, 2019 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC Oral and Maxillofacial Surgery CurrentSince Apr 13, 2025 Accepting new patients
NMG Health Services LLC CurrentSince Apr 13, 2025 Accepting new patients
Shawn M. Conrad, D.D.S., P.a. Oral and Maxillofacial Surgery PastSince Jul 12, 1999 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients
Conrad, Arne', Lombardo, & Krupa, D.D.S, P.a. Oral and Maxillofacial Surgery Past Accepting new patients

Locations

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

7971 Market St
Wilmington, NC 28411
Phone (910) 386-5056

7320 Market St
Wilmington, NC 28411
Phone (910) 386-5003

Interoperability endpoints

  • Direct secure messaging: sconrad1116867@direct.novanthealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1306971882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119881",
            "telephone_number": "910-386-5003",
            "fax_number": "910-681-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119881",
            "telephone_number": "910-386-5003",
            "fax_number": "910-681-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "6326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.