Active NPI
Charles Conley, DMD
- Dentist
- Daly City, CA
National Provider Identifier
1407061617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63538
- Practice address
- 901 Campus Drive
Ste 304
Daly City, CA 94015-9401 - Phone
- (650) 756-1900
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63538 | CA | Primary |
Addresses
Primary practice location
901 Campus Drive
Ste 304
Daly City, CA 94015-9401
Mailing address
901 Campus Drive
Ste 304
Daly City, CA 94015
Phone (650) 756-1900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63538 | CA | MD | Medical license number |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conley Dental Corporation | Current | Accepting new patients | |
| Comfortable Care Dental Health Professionals, PA | Past | Accepting new patients |
Locations
901 Campus Dr
Ste 304
Daly City, CA 94015
Phone (650) 756-1900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Serramonte Ridge Dental
- Dental Clinic/Center
- Daly City, CA
- NPI 1154805463
-
dba The Dentist Place - Orange Park
- General Practice Dentistry
- Orange Park, FL
- NPI 1679785315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1407061617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CAMPUS DRIVE",
"address_2": "STE 304",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "650-756-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CAMPUS DRIVE",
"address_2": "STE 304",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940159401",
"telephone_number": "650-756-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.