Active NPI
Chad Lowell Conlin, D.D.S.
- Dentist
- Rockford, MI
National Provider Identifier
1497905616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019930
- Practice address
- 112 N Monroe St
Rockford, MI 49341-1419 - Phone
- (616) 866-4445
- Fax
- (616) 866-4409
- NPI assigned
- Sep 24, 2008
- 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 | 2901019930 | MI | Primary |
Addresses
Primary practice location
112 N Monroe St
Rockford, MI 49341-1419
Mailing address
112 N Monroe St
Rockford, MI 49341-1419
Phone (616) 866-4445
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 |
|---|---|---|---|
| 2901019930 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1497905616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N MONROE ST",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493411419",
"telephone_number": "616-866-4445",
"fax_number": "616-866-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N MONROE ST",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493411419",
"telephone_number": "616-866-4445",
"fax_number": "616-866-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIN",
"first_name": "CHAD",
"middle_name": "LOWELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, MI
- Mackenzie Clark, BEHAVIOR TECHNICIAN
- William Donald Clark, D.O.
- Katelyn Marie Cleypool, DPM
- Sarah Colter, NP
- John Edward Conklin, DDS
- Connected Development Therapeutic & Training Services, PLLC
- Samantha Lynn Cook, BEHAVIOR TECHNICIAN
- Joel A. Coon, PHARM.D., BCACP
- Heather Marie Coots
- Dustin Paul Cosier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.