Organization Active NPI

Conway Dental Associates

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1730333873
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16580 Issued in FL
Legal business name
CONWAY DENTAL ASSOCIATES
Practice address
4755 S Conway Rd
Orlando, FL 32812-1245
Phone
(407) 855-1128
Fax
(407) 855-1130
NPI assigned
Nov 14, 2008
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Anne M Reid, DDS
Title
General Dentist/Co-Owner
Phone
(407) 855-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16580 FL Primary

Addresses

Primary practice location

4755 S Conway Rd
Orlando, FL 32812-1245

Mailing address

4755 S Conway Rd
Orlando, FL 32812-1245
Phone (407) 855-1128

Other identifiers 1

IdentifierTypeStateIssuer
DN16580OtherFLDENTAL

National Provider Directory

National Provider Directory

Locations

4755 Conway Rd
Orlando, FL 32812
Phone (407) 855-1128

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": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1730333873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121245",
            "telephone_number": "407-855-1128",
            "fax_number": "407-855-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121245",
            "telephone_number": "407-855-1128",
            "fax_number": "407-855-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL DENTIST/CO-OWNER",
        "authorized_official_telephone_number": "407-855-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "DN16580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.