Individual provider Active NPI

Jonathan David Conover, D.D.S.

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1669602116
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-023009 Issued in OH
Practice address
8464 Winton Rd
Cincinnati, OH 45231-4938
Phone
(513) 931-7542
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-023009 OH Primary

Addresses

Primary practice location

8464 Winton Rd
Cincinnati, OH 45231-4938

Mailing address

8005 Plainfield Rd Ste 31
Cincinnati, OH 45236-2500
Phone (513) 791-8937

Other practice location 1

8005 Plainfield Rd Ste 31
Cincinnati, OH 45236-2500
Phone (513) 733-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000686 OH Order and Referring Only - General PracticePractitioner - General Practice 2163748708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023009OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1669602116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 PLAINFIELD RD STE 31",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362500",
            "telephone_number": "513-791-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8464 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314938",
            "telephone_number": "513-931-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8005 Plainfield Rd Ste 31",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362500",
            "country_code": "US",
            "telephone_number": "513-733-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.