NPIMap

Organization Active NPI

Johns, Conde & Malone, D.D.S., Inc.

  • General Practice Dentistry
  • Buckhannon, WV
National Provider Identifier
1740304971
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHNS, CONDE & MALONE, D.D.S., INC.
Practice address
546 Route 20 South Rd
Buckhannon, WV 26201-3904
Phone
(304) 472-2774
Fax
(304) 472-3927
NPI assigned
Mar 16, 2007
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dr. Kevin CondeNPI 1508990722
Title
Owner
Phone
(304) 472-2774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

546 Route 20 South Rd
Buckhannon, WV 26201-3904

Mailing address

RR 6 Box 333
Buckhannon, WV 26201-8830
Phone (304) 472-2774

Other identifiers 1

IdentifierTypeStateIssuer
3810005524MedicaidWV

National Provider Directory

National Provider Directory

Locations

546 Route 20 South Rd
Buckhannon, WV 26201
Phone (304) 427-2774

Practitioners & affiliated clinicians

Practitioners 3

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1740304971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 333",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018830",
            "telephone_number": "304-472-2774",
            "fax_number": "304-472-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 ROUTE 20 SOUTH RD",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262013904",
            "telephone_number": "304-472-2774",
            "fax_number": "304-472-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS, CONDE & MALONE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-472-2774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005524",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.