Conway Oaks Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CONWAY OAKS DENTAL

Practice address

3221 Conway Rd Ste a
Orlando, FL 32812-7354

Phone

(407) 277-0981

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Peter Kelly

Title

Owner

Phone

(410) 410-3031

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1609402197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 CONWAY RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127354",
            "telephone_number": "407-277-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 CONWAY RD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127354",
            "telephone_number": "407-277-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY OAKS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-410-3031"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN19430",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@conwayoaksdental.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3221 Conway Rd Ste A",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328127354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alex Conty, M.D.
• David L Convissar, MD
• Conway Dental Associates
• Conway Dental Care
• Conway Lakes NC, LLC
• Conway Optical Company
• Colleen R Conway
• Kelly Gekas Conway, OTR
• Kathy F Conyers, PA
• Amber Cook, APRN

• Dental Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.