DR. KELLY ALLYN CONLON (NPI# 1538261458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538261458 |
| Entity Type | Individual |
| Full Name | DR. KELLY ALLYN CONLON |
| Credential | DDS |
| Practice Address |
2000 Forest Ave Suite D San Jose CA 95128-4831 |
| Practice Telephone | 4082944149 |
| Practice Fax Number | 4082940949 |
| Mailing Telephone | 4082944149 |
| Mailing Fax Number | 4082940949 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
44581 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851632426 | Kelly Ann Conlon | Hearing Instrument Specialist | 103 W Highland Dr, Lakeland, FL 33813-1540 | 2013-03-07 |
| 1124597711 | Kelly Elizabeth Conlon | Counselor | 965 Oakland Rd Ste 3d, Lawrenceville, GA 30044-3758 | 2018-11-13 |
| Street Address |
2000 FOREST AVE SUITE D |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164553723 | Michael Roy Fukawa | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2007-03-07 |
| 1326199522 | Alan Dean Hiura | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2007-01-15 |
| 1326130774 | Sung-ming Sunny Young | Dentist | 2000 Forest Ave, Suite D, San Jose, CA 95128-4831 | 2006-09-29 |
| 1346349941 | Raymond H. Funada, D.d.s., Inc. | Dentist | 2000 Forest Ave, Suite C, San Jose, CA 95128-4831 | 2006-09-21 |
| 1003919275 | Raymond Funada | Dentist | 2000 Forest Ave, Ste C, San Jose, CA 95128-4831 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740758648 | Yan Kalika Dental Corporation | Dentist | 5130 Stevens Creek Blvd Ste B, San Jose, CA 95129-1019 | 2018-11-08 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1922330620 | Eric J Yokota | Dentist | 1688 Willow St., Suite E, San Jose, CA 95125 | 2010-02-04 |
| 1487894499 | Ramya Ramamurthy | Dentist | 750 N Capitol Ave Ste A1, San Jose, CA 95133-1902 | 2009-03-03 |
| 1265681365 | Gary Wallace Moss | Dentist | 1680 Westwood Dr Ste D, San Jose, CA 95125-5105 | 2008-09-12 |
| 1902027410 | Nava Fathi | Dentist | 2581 Samaritan Dr., Suite 110, San Jose, CA 95124 | 2007-05-01 |
| 1295892115 | Jeffrey V. Merrifield, D.d.s., Inc. | Dentist | 2664 Berryessa Rd Ste 116, San Jose, CA 95132-2906 | 2007-01-02 |
| 1982712741 | Jeffrey D. Krupp | Dentist | 3994 S Bascom Ave, #5, San Jose, CA 95124-2663 | 2006-08-29 |
| 1952418014 | Gurpreet Singh Narula | Dentist | 150 N Jackson Ave Ste 212, San Jose, CA 95116-1908 | 2006-08-24 |
| 1417316134 | David Chow Dds Apc | Dentist | 1680 Westwood Dr, Suite D, San Jose, CA 95125-5105 | 2016-02-23 |
| Find all providers in SAN JOSE | ||||
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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.