Carolyn Ann Conrad, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

18011 River Circle
Suite #4
Canyon Country, CA 91387

Phone

(661) 645-2809

Fax

(661) 251-9333

NPI assigned

Nov 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1427325596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18011 RIVER CIRCLE",
            "address_2": "SUITE #4",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "91387",
            "telephone_number": "661-645-2809",
            "fax_number": "661-251-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18011 RIVER CIRCLE",
            "address_2": "SUITE #4",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "91387",
            "telephone_number": "661-645-2809",
            "fax_number": "661-251-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula D. Clarke, LCSW
• Amber Marie Cobb, RCP, CRT, RRT
• Stacey Ann Cobb, HAP 200
• Kenneth Scott Coddington, D.D.S.
• Joseph Conarkov, CMT
• Maria Eugenia Cortes Guzman, LVN
• Thomas Cox
• Evelyn Coyoy Menchu, LCSW
• Darian Lee Cruz
• Leah Cseh

• Dental Hygienist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.