NPIMap

Organization Active NPI

Telluride Dental PC

Doing business as Gary E. Conrad DDS

  • General Practice Dentistry
  • Telluride, CO
National Provider Identifier
1659474955
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TELLURIDE DENTAL PC
Doing business as
Gary E. Conrad DDS
Practice address
126 West Colorado Ave
Suite 203
Telluride, CO 81435-3644
Phone
(970) 728-4336
Fax
(970) 369-4386
NPI assigned
Sep 6, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Gary E Conrad, DDS
Title
Dentist/Owner
Phone
97107284336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

126 West Colorado Ave
Suite 203
Telluride, CO 81435-3644

Mailing address

PO Box 3644
Telluride, CO 81435-3644
Phone (970) 728-4336

Other identifiers 1

IdentifierTypeStateIssuer
5177OtherCODENTAL

Other names 1

  • Gary E. Conrad DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1659474955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3644",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814353644",
            "telephone_number": "970-728-4336",
            "fax_number": "970-369-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WEST COLORADO AVE",
            "address_2": "SUITE 203",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814353644",
            "telephone_number": "970-728-4336",
            "fax_number": "970-369-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIDE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "97107284336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "5177",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary E. Conrad DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Telluride, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.