Active NPI
Dean M Conger, MD
- Ophthalmology Physician
- Burien, WA
National Provider Identifier
1750386165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD34429
- Practice address
- 426 SW 153Rd St
Burien, WA 98166-2215 - Phone
- (206) 243-9378
- Fax
- (206) 248-1425
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD34429 | WA | Primary |
Addresses
Primary practice location
426 SW 153Rd St
Burien, WA 98166-2215
Mailing address
426 SW 153Rd St
Burien, WA 98166-2215
Phone (206) 243-9378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102086 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD34429 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Eye Center, PLLC | Past | Accepting new patients | |
| Eye Craft, PLLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Burien, WA
- NPI 1457513004
-
- Ambulatory Surgical Clinic/Center
- Federal Way, WA
- NPI 1821167479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186012800000",
"number": "1750386165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 SW 153RD ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662215",
"telephone_number": "206-243-9378",
"fax_number": "206-248-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 SW 153RD ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662215",
"telephone_number": "206-243-9378",
"fax_number": "206-248-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGER",
"first_name": "DEAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2007-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD34429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102086",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
- Aaron Michael Collins, D.C.
- Commonspirit Washington Community Care
- Community Health Centers of King County
- Comprehensive Sleep Medicine Inc, PS
- Mia Concordia, MSW, LICSW
- Sherrill Martin Conner, D.D.S.
- Heather Conte, LMT
- Alan Dewayne Cooper, DDS
- Copal Acupuncture & Herbal Medicine
- Shannon L Corbin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.