Individual provider Active NPI

Ladan A. Convey, DDS

  • Dentist
  • El Paso, TX
National Provider Identifier
1881674935
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41107 Issued in TX
Practice address
3133 Tierra Nora
El Paso, TX 79938-4307
Phone
(931) 494-4667
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7351 NE
Dentist 122300000X 41107 TX Primary
Dentist 122300000X 0401410289 VA

Addresses

Primary practice location

3133 Tierra Nora
El Paso, TX 79938-4307

Mailing address

3133 Tierra Nora
El Paso, TX 79938-4307
Phone (931) 494-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413000353 NE Order and Referring Only - DentistPractitioner - Dentist 3577849215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41107TXMDDentist
0401410289VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Dental Associates of Nebraska, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1881674935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 TIERRA NORA",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384307",
            "telephone_number": "931-494-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 TIERRA NORA",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384307",
            "telephone_number": "931-494-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVEY",
        "first_name": "LADAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7351",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41107",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.