Active NPI
Robert E. Conway, D.D.S.
- General Practice Dentistry
- Kingston, PA
National Provider Identifier
1952444838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-16134-L
- Practice address
- 395 N Maple Ave
Kingston, PA 18704-3614 - Phone
- (570) 288-6561
- Fax
- (570) 287-3248
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-16134-L | PA | Primary |
Addresses
Primary practice location
395 N Maple Ave
Kingston, PA 18704-3614
Mailing address
395 N Maple Ave
Kingston, PA 18704-3614
Phone (570) 288-6561
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-16134-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952444838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 N MAPLE AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043614",
"telephone_number": "570-288-6561",
"fax_number": "570-287-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N MAPLE AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043614",
"telephone_number": "570-288-6561",
"fax_number": "570-287-3248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-16134-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
- Compass Home Health & Rehab, LLC
- Compassionate Home Care of Northeastern PA, LLC
- Complete Home Care, Inc
- Comprehensive Family and Cosmetic Dental Center
- Malcolm L. Conway Jr., DC
- Brian Cook, NCC, LPC
- Cook's Pharmacy LTC
- Cook's Pharmacy of Kingston Inc (Cooks Pharmacy of Kingston)
- Cooks Medical Care Co., Inc.
- Priscilla A Cooney, CRNP
Sources for this page
- 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.