Active NPI
Paul W Conrad DDS PC
- General Practice Dentistry
- Dumfries, VA
National Provider Identifier
1720148653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PAUL W CONRAD DDS PC
- Practice address
- 16150 Country Club Drive
Dumfries, VA 22025 - Phone
- (703) 670-4838
- Fax
- (703) 670-7876
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Jayne Mueller
- Title
- Front Office Manager
- Phone
- (703) 670-4838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
16150 Country Club Drive
Dumfries, VA 22025
Mailing address
16150 Country Club Drive
Dumfries, VA 22025
Phone (703) 670-4838
National Provider Directory
National Provider DirectoryLocations
16150 Country Club Dr
Dumfries, VA 22025
Phone (703) 670-4838
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Dumfries, VA
- NPI 1861596454
-
- General Practice Dentistry
- Dumfries, VA
- NPI 1093387284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1720148653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16150 COUNTRY CLUB DRIVE",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "22025",
"telephone_number": "703-670-4838",
"fax_number": "703-670-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16150 COUNTRY CLUB DRIVE",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "22025",
"telephone_number": "703-670-4838",
"fax_number": "703-670-7876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL W CONRAD DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "MUELLER",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "JAYNE",
"authorized_official_title_or_position": "FRONT OFFICE MANAGER",
"authorized_official_telephone_number": "703-670-4838"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.