David W Conaway, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010857A Issued in IN

Practice address

195 Deanna Dr
Lowell, IN 46356-2402

Phone

(219) 696-1181

Fax

(219) 696-7020

NPI assigned

Dec 6, 2006

Last updated

May 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

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.

• Lowell Dentistry, P.C.

  dba Tri-Creek Family Dentistry

  • General Practice Dentistry
  • Lowell, IN
  • NPI 1104175702
  NPD (past) Authorized official
• Drinski Dental Inc

  • General Practice Dentistry
  • Lowell, IN
  • NPI 1164376976
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1982763041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 DEANNA DR",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562402",
            "telephone_number": "219-696-1181",
            "fax_number": "219-696-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 DEANNA DR",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562402",
            "telephone_number": "219-696-1181",
            "fax_number": "219-696-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONAWAY",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010857A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200824930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Calvillo, MHS
• Kelley Campbell, PHARMD
• Kathryn Camus
• Anastasia Christakis-Szostek
• Paul K Clark, DC
• Rhonda Sue Courtright, MSW
• Susan Marie Cummings, COTA
• Joshua Nathaniel Degood, D.C.
• Donald W Pulver,DDS,PC
• Drinski Dental Inc

• General Practice Dentistry in Lowell, IN
• Providers in Lowell, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.