KELLY RICHARD CONWAY (NPI# 1841573201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841573201 |
| Entity Type | Individual |
| Full Name | KELLY RICHARD CONWAY |
| Credential | D.D.S., M.S. |
| Practice Address |
535 N 87th St Omaha NE 68114-2801 |
| Practice Telephone | 4023932300 |
| Practice Fax Number | 4023934700 |
| Mailing Telephone | 4023932300 |
| Mailing Fax Number | 4023934700 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5278 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669514204 | Kelly Lyn Conway | Speech-Language Pathologist | 530 N Lake Shore Dr Apt 1403, Chicago, IL 60611-7429 | 2007-02-12 |
| 1396376380 | Kelly Jeanne Conway | Nurse Practitioner | 1317 Medical Dr, Fayetteville, NC 28304-4418 | 2020-01-29 |
| 1659877397 | Kelly Gekas Conway | Behavior Technician | 5449 S Semoran Blvd Ste 205, Orlando, FL 32822-1778 | 2018-04-02 |
| 1225271695 | Kelly Conway | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2009-04-14 |
| 1023038775 | Kelly J Conway | Clinical Nurse Specialist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-07-19 |
| Street Address |
535 N 87TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817044 | Candid Nebraska, LLC | Dentist | 706 N 129th St Ste 100, Omaha, NE 68154-6116 | 2020-09-23 |
| 1326433780 | Omaha Orthodontics LLC | Dentist | 17935 Welch Plz, #104, Omaha, NE 68135-3595 | 2015-04-02 |
| 1861897126 | Kort A. Igel Dds Ms PC | Dentist | 10801 Pacific St, Suite 200, Omaha, NE 68154-3383 | 2014-10-29 |
| 1629285648 | R. William Barnard | Dentist | 14707 California St, Suite 8, Omaha, NE 68154-1952 | 2007-05-17 |
| 1053528851 | R. William Barnard Dds, Ms, PC | Dentist | 14707 California St Ste 8, Omaha, NE 68154-1900 | 2007-05-17 |
| 1891838876 | James Joseph Lukas | Dentist | 8711 Shamrock Rd, Omaha, NE 68114-5238 | 2007-02-15 |
| 1205905403 | Matthew J. Becker | Dentist | 16920 Wright Plz Ste 106, Omaha, NE 68130-4660 | 2006-11-06 |
| 1295826139 | Barbara J Ries | Dentist | 624 N 129th St, Suite 100, Omaha, NE 68154-6107 | 2006-09-27 |
| 1689765398 | Peter Anthony Ziegler | Dentist | 7333 Farnam Street, Omaha, NE 68114 | 2006-09-27 |
| 1043319882 | Thomas J Weber | Dentist | 2422 S 179th St, Omaha, NE 68130-2687 | 2006-09-21 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.