Active NPI
Matthew B Conley, DMD
- Dentist
- Labelle, FL
National Provider Identifier
1447737911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 23701
- Practice address
- 55 Belmont St
Labelle, FL 33935-4789 - Phone
- (863) 675-0019
- NPI assigned
- Jul 26, 2018
- Last updated
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 23701 | FL | Primary |
Addresses
Primary practice location
55 Belmont St
Labelle, FL 33935-4789
Mailing address
PO Box 953
Labelle, FL 33975-0953
Phone (863) 517-1272
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23701 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1447737911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 953",
"city": "LABELLE",
"state": "FL",
"postal_code": "339750953",
"telephone_number": "863-517-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BELMONT ST",
"city": "LABELLE",
"state": "FL",
"postal_code": "339354789",
"telephone_number": "863-675-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "MATTHEW",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "23701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Labelle, FL
- Betsabee A Castillo Guerrero, M.D.
- Luis Abel Cervera Gomez
- Maria A Chirino Abad
- Kai Fu Chow, M.D.
- Comfort Squad Caregivers LLC
- Jeniree C Constantino Rios
- William F Cooper, D.D.S.
- Deyanira Cotilla
- County of Hendry Office of Clerk Board County Commissioners (Hendry County EMS)
- Danijo Kathleen Crane, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.