David Oliver Conant-Norville, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

13643 Issued in OR

Practice address

18650 NW Cornell Rd
Suite 315
Hillsboro, OR 97124-9207

Phone

(503) 352-0468

Fax

(503) 352-1024

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 6, 2017 through Feb 6, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Mind Matters PC

  • Psychologist
  • Beaverton, OR
  • NPI 1285839019
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1659423291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 NW CORNELL RD",
            "address_2": "SUITE 315",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249207",
            "telephone_number": "503-352-0468",
            "fax_number": "503-352-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 NW CORNELL RD",
            "address_2": "SUITE 315",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249207",
            "telephone_number": "503-352-0468",
            "fax_number": "503-352-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANT-NORVILLE",
        "first_name": "DAVID",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "13643",
            "primary": true
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "OR",
            "license": "13643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Chiropractic LLC (Hillsboro Centro Chiropractic Clinic)
• Comfort-Ride (Comfort-Ride LLC)
• Comfort58 CT Residential LLC
• Compass Enterprise, Inc (Home Instead)
• Alan C Compton Jr., M.D.
• Paola Isabel Galvan Conde
• Danielle N Conklin
• Siobhan Jean Conley, FNP
• Patrick Jon Connor, CRNFA
• Crystal Ann Connors, MS, RD

• Child & Adolescent Psychiatry Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Child & Adolescent Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.