Corey Christopher Conrad, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

07979 Issued in IA

Practice address

5890 Morning Star CT.
Pleasant Hill, IA 50327-2230

Phone

(515) 266-2154

Fax

(515) 266-8065

NPI assigned

Oct 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cio,LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pleasant Hill, IA
  • NPI 1720260482
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1588843247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 MORNING STAR CT.",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503272230",
            "telephone_number": "515-266-2154",
            "fax_number": "515-266-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 MORNING STAR CT.",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503272230",
            "telephone_number": "515-266-2154",
            "fax_number": "515-266-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "COREY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "07979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247338",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Pleasant Hill
• Cheryl Linn Clarke, R.PH.
• Megan Cole
• Community Care of Iowa, LLC
• Community Care of Pleasant Hill LLC
• Courtyard Estates at Cedar Pointe
• Stacy Lynn Davis, PA
• Jason Keith Detrick, PHARMD
• Debbie Ann Dettmer, LPN
• Brent Allen Douglas, M.A., LMHC

• Orthodontics and Dentofacial Orthopedics Dentistry in Pleasant Hill, IA
• Providers in Pleasant Hill, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.