NPIMap

Organization Active NPI

Conway & Bucaj Dentistry Partnership

  • General Practice Dentistry
  • Vero Beach, FL
National Provider Identifier
1811182231
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8492 Issued in FL
Legal business name
CONWAY & BUCAJ DENTISTRY PARTNERSHIP
Practice address
3755 7TH Ter
Suite 303
Vero Beach, FL 32960-6528
Phone
(772) 569-4118
Fax
(772) 569-9446
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Edward Michael Conway Jr., DDSNPI 1275673725
Title
President
Phone
(772) 569-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8492 FL Primary
General Practice Dentistry 1223G0001X 9340 FL
General Practice Dentistry 1223G0001X 17124 FL

Addresses

Primary practice location

3755 7TH Ter
Suite 303
Vero Beach, FL 32960-6528

Mailing address

3755 7TH Ter
Suite 303
Vero Beach, FL 32960-6528
Phone (772) 569-4118

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1811182231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 7TH TER",
            "address_2": "SUITE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606528",
            "telephone_number": "772-569-4118",
            "fax_number": "772-569-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 7TH TER",
            "address_2": "SUITE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606528",
            "telephone_number": "772-569-4118",
            "fax_number": "772-569-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY & BUCAJ DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-569-4118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8492",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9340",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.