Active NPI
Shawn Conrad
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6326
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6326 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Wilson and Kelly, PLLC | Oral and Maxillofacial Surgery | Current | 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 | Current | Accepting new patients |
| NMG Health Services LLC | Current | Accepting new patients | |
| Shawn M. Conrad, D.D.S., P.a. | Oral and Maxillofacial Surgery | Past | 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
- 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.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
- NPI 1659696888
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
- NPI 1689224495
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1841877263
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, NC
- NPI 1184941189
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
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
- Jessica Scheel Connett, MD
- Conquer Movement LLC
- Conrad, Arne', Lombardo, & Krupa, D.D.S, P.a.
- Conrad, Arne', Lombardo, & Krupa, D.D.S., P.a.
- Conrad, Arne', Lombardo, & Krupa, DDS, PA
- Alyssa Conroy
- Maggie Jo Consey, ANP-C
- Shawn Christopher Consey, PA-C
- Consults in Hypertension, PA
- Consults in Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.