Michael A. Conrad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS023035L Issued in PA

Practice address

770 Fetters LN
Wescosville, PA 18106-9290

Phone

(610) 398-1435

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael a. Conrad, DDS, PC

  • Dental Clinic/Center
  • Wescosville, PA
  • NPI 1437417524
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891828505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3243",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181060243",
            "telephone_number": "610-398-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 FETTERS LN",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069290",
            "telephone_number": "610-398-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023035L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Bastian, RPH
• Alexis Bove, LPC
• Deborah A Campbell, DMD
• Carol L Carr, LPC LLC
• Carol L Carr
• Cooper Psychological Associates, Inc.
• Janice Marion Cooper
• Tyler Countess
• Hayley E Daubert, RD, LDN
• Dr.Subha Family Dentistry

• General Practice Dentistry in Wescosville, PA
• Providers in Wescosville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.