Individual provider Active NPI

Peter L Conmy, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kahului, HI
National Provider Identifier
1679660963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1888 Issued in HI
Practice address
285 W Kaahumanu Ave
Suite 220
Kahului, HI 96732-1623
Phone
(808) 873-8199
Fax
(808) 873-8399
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1888 HI Primary

Addresses

Primary practice location

285 W Kaahumanu Ave
Suite 220
Kahului, HI 96732-1623

Mailing address

285 W Kaahumanu Ave
Suite 220
Kahului, HI 96732-1623
Phone (808) 873-8199

Other identifiers 1

IdentifierTypeStateIssuer
579550MedicaidHI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1888HIMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679660963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W KAAHUMANU AVE",
            "address_2": "SUITE 220",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321623",
            "telephone_number": "808-873-8199",
            "fax_number": "808-873-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W KAAHUMANU AVE",
            "address_2": "SUITE 220",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321623",
            "telephone_number": "808-873-8199",
            "fax_number": "808-873-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONMY",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579550",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

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.

Verify at the official NPI Registry.