Organization Active NPI

Conley & Azarnoush P.C.

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1609117803
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23593 Issued in TX
Legal business name
CONLEY & AZARNOUSH P.C.
Practice address
1460 E Whitestone Blvd
Ste. 210
Cedar Park, TX 78613-2210
Phone
(512) 528-0975
Fax
(512) 528-0184
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Emily Susanne Conley, DDS
Title
President
Phone
(512) 528-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23593 TX Primary

Addresses

Primary practice location

1460 E Whitestone Blvd
Ste. 210
Cedar Park, TX 78613-2210

Mailing address

1460 E Whitestone Blvd
Ste. 210
Cedar Park, TX 78613-2210
Phone (512) 528-0975

Other names 1

  • Mosaic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1460 E Whitestone Blvd
Ste 210
Cedar Park, TX 78613
Phone (512) 528-0975

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1609117803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E WHITESTONE BLVD",
            "address_2": "STE. 210",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132210",
            "telephone_number": "512-528-0975",
            "fax_number": "512-528-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E WHITESTONE BLVD",
            "address_2": "STE. 210",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132210",
            "telephone_number": "512-528-0975",
            "fax_number": "512-528-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLEY & AZARNOUSH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "SUSANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-528-0975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.