NPIMap

Organization Active NPI

Katherine V. Conway D.D.S. P. a

Doing business as Hastings Family Dental Care

  • General Practice Dentistry
  • Hastings, MN
National Provider Identifier
1568569416
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10148 Issued in MN
Legal business name
KATHERINE V. CONWAY D.D.S. P. A
Doing business as
Hastings Family Dental Care
Practice address
955 Highway 55
Suite 6
Hastings, MN 55033-2365
Phone
(651) 437-9764
Fax
(651) 438-3138
NPI assigned
Sep 20, 2006
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Katherine Veronica Conway, DDSNPI 1346307683
Title
General Dentist
Phone
(651) 437-9764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10148 MN Primary

Addresses

Primary practice location

955 Highway 55
Suite 6
Hastings, MN 55033-2365

Mailing address

955 Highway 55
Suite 6
Hastings, MN 55033-2365
Phone (651) 437-9764

Other identifiers 2

IdentifierTypeStateIssuer
513823000MedicaidMN
000724372OtherUNITED CONCORDIA

Other names 1

  • Hastings Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

955 Highway 55
Ste 6
Hastings, MN 55033
Phone (651) 437-9764

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1568569416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HIGHWAY 55",
            "address_2": "SUITE 6",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332365",
            "telephone_number": "651-437-9764",
            "fax_number": "651-438-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HIGHWAY 55",
            "address_2": "SUITE 6",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332365",
            "telephone_number": "651-437-9764",
            "fax_number": "651-438-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE V. CONWAY D.D.S. P. A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "651-437-9764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513823000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000724372",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hastings Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.