Active NPI
Christy Marie Conanan, D.D.S.
- Dentist
- Fresno, CA
National Provider Identifier
1629156757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42291
- Practice address
- 4747 N. First St.
Suite 109
Fresno, CA 93726-0563 - Phone
- (559) 229-6249
- Fax
- (559) 229-0342
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 42291 | CA | Primary |
Addresses
Primary practice location
4747 N. First St.
Suite 109
Fresno, CA 93726-0563
Mailing address
4747 N 1St St
Suite 109
Fresno, CA 93726-0563
Phone (559) 229-6249
Other names 1
- Dr. Christy Alcoseba
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 |
|---|---|---|---|
| 42291 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amin Sadeghi DMD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629156757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 N 1ST ST",
"address_2": "SUITE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937260563",
"telephone_number": "559-229-6249",
"fax_number": "559-229-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 N. FIRST ST.",
"address_2": "SUITE 109",
"city": "FRESNO",
"state": "CA",
"postal_code": "937260563",
"telephone_number": "559-229-6249",
"fax_number": "559-229-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONANAN",
"first_name": "CHRISTY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "ALCOSEBA",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
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- Orin Conant, LMFT
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- Concentra
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.