NPIMap

Organization Active NPI

Conrad, Arne', Lombardo, & Krupa, D.D.S., P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
National Provider Identifier
1811212103
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2174 Issued in NC
Legal business name
CONRAD, ARNE', LOMBARDO, & KRUPA, D.D.S., P.A.
Practice address
1510 Medical Center Drive
Wilmington, NC 28401-7506
Phone
(910) 762-1555
Fax
(910) 251-1721
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Bruce C Arne', D.D.S.
Title
Secretary
Phone
(910) 762-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2174 NC Primary

Addresses

Primary practice location

1510 Medical Center Drive
Wilmington, NC 28401-7506

Mailing address

1510 Medical Center Drive
Wilmington, NC 28401-7506
Phone (910) 762-1555

Other names 1

  • Coastal Carolina Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Carolina Oral and Maxillofacial Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1811212103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MEDICAL CENTER DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017506",
            "telephone_number": "910-762-1555",
            "fax_number": "910-251-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 MEDICAL CENTER DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017506",
            "telephone_number": "910-762-1555",
            "fax_number": "910-251-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD, ARNE', LOMBARDO, & KRUPA, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "ARNE'",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "910-762-1555",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.