Active NPI
Katherine Veronica Conway, D.D.S.
- General Practice Dentistry
- Hastings, MN
National Provider Identifier
1346307683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10148
- Practice address
- 955 Highway 55
Suite 6
Hastings, MN 55033-2365 - Phone
- (651) 437-9764
- Fax
- (651) 438-3138
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- 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 | 10148 | MN | Primary |
Addresses
Primary practice location
955 Highway 55
Suite 6
Hastings, MN 55033-2365
Mailing address
955 Highway 55
Suite 6
Hastings, MN 55033-2365
Phone (651) 437-9764
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000724372 | Other | MN | UNITED CONCORDIA |
| 513823000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150528001703 | MN | Order and Referring Only - Oral Surgery | 5193045490 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine V. Conway D.D.S. P. a | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Hastings, MN
- NPI 1568569416
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1346307683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 HIGHWAY 55",
"address_2": "SUITE 6",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332365",
"telephone_number": "651-437-9764",
"fax_number": "651-438-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 HIGHWAY 55",
"address_2": "SUITE 6",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332365",
"telephone_number": "651-437-9764",
"fax_number": "651-438-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "KATHERINE",
"middle_name": "VERONICA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "10148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "000724372",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "513823000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.