Adrianna Conradson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011533 Issued in AZ

Practice address

5143 W Olive Ave Ste 140
Glendale, AZ 85302-4206

Phone

(623) 939-2600

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Glendale Modern Dentistry, LLP

  • Dentist
  • Glendale, AZ
  • NPI 1255757308
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1962138149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 N 36TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 W OLIVE AVE STE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024206",
            "telephone_number": "623-939-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRADSON",
        "first_name": "ADRIANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Conner, D. C.
• Miley Conner, RD
• Alexa Jo Conners, DPT
• David Connor, M.D.
• Thailya Connor, NP
• Consentino Consulting LLC
• Anne Linda Conser, LCSW
• Consultants in Internal Medicine, P.C.
• Courtney Irene Contreras
• Frank Contursi, M.D.

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.