Conrad Pettit McVea Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2073 Issued in LA

Practice address

2016 Washington St
Franklinton, LA 70438-2533

Phone

(985) 839-4138

Fax

(985) 839-6253

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McVea Dental Center

  • Dental Clinic/Center
  • Franklinton, LA
  • NPI 1639529621
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356347249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382533",
            "telephone_number": "985-839-4138",
            "fax_number": "985-839-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704382533",
            "telephone_number": "985-839-4138",
            "fax_number": "985-839-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEA",
        "first_name": "CONRAD",
        "middle_name": "PETTIT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820733",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelvin L McCain, PT
• Sydney McGehee, OT
• Mandy McKee
• McVea Dental Center
• Conrad Pettit McVea III, DDS
• Ellen Meyer
• Mary Page Miller
• Amanda Miner
• Sydney Wade Mizell
• Mom-4-a-Day

• General Practice Dentistry in Franklinton, LA
• Providers in Franklinton, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.