Conway DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CONWAY DDS INC.

Practice address

9750 Miramar Rd Ste 100
San Diego, CA 92126-4561

Phone

(858) 271-7440

Fax

(858) 271-0180

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raivyn Conway, DDSNPI 1699258830

Title

Ceo

Phone

(619) 477-1184

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

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.

• Raivyn Marie Conway, DDS

  • General Practice Dentistry
  • Bonita, CA
  • NPI 1699258830
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1659095412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501265",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921501265",
            "telephone_number": "619-807-8710",
            "fax_number": "619-474-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264561",
            "telephone_number": "858-271-7440",
            "fax_number": "858-271-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 E 8th St",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502541",
            "country_code": "US",
            "telephone_number": "619-477-1184",
            "fax_number": "619-474-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONWAY DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "RAIVYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-477-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.graphitedental.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "905 E 8th St",
            "city": "National City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919502541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.graphitedental.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9750 Miramar Rd Ste 100",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921264561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonayacel Bernice Conui - Avery
• Myhasa Linn Converse Phimmasone, LVN
• Amanda Michelle Converse-Rath, OTR/L
• Casey Elizabeth Converse, OT
• Alyssa Convirse Dorado
• Allegra Conway, RN, WHNP-BC
• Andre Conway, IDC STUDENT
• Annette Marie Conway, PSYD
• Natalie G Conway, LCSW
• Rachel Conway, PSY.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.