Individual provider Active NPI

Wanda Sue Conway, RDH

  • Dental Hygienist
  • Virginia Beach, VA
National Provider Identifier
1366198533
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
0402203866 Issued in VA
Practice address
2021 Pleasure House Rd
Virginia Beach, VA 23455-2709
Phone
(757) 464-3514
NPI assigned
Feb 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 0402203866 VA Primary

Addresses

Primary practice location

2021 Pleasure House Rd
Virginia Beach, VA 23455-2709

Mailing address

301 Hickory Rd E
Chesapeake, VA 23322-2277
Phone (757) 288-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0402203866VAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
T D Baxter Jr DDS LTD PastSince Mar 6, 2022 Accepting new patients
Dr. Adam M. Hogan D.D.S.,PC PastSince Mar 6, 2022 Accepting new patients

Organizations & group practices 2

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": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1366198533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HICKORY RD E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222277",
            "telephone_number": "757-288-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PLEASURE HOUSE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552709",
            "telephone_number": "757-464-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402203866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.