John M Conness DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018550 Issued in IL

Legal business name

JOHN M CONNESS DDS

Practice address

1704 Polaris Cir
Suite 1
Ottawa, IL 61350-1773

Phone

(815) 434-1022

Fax

(815) 434-1047

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Michael Conness, DDSNPI 1669570263

Title

Owner

Phone

(815) 434-1022

Specialties & licenses 1

Addresses

Tax ID family

John M Conness DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John M Conness DDS

  • General Practice Dentistry
  • Streator, IL
  • NPI 1265899637
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Conness, DDS

  • General Practice Dentistry
  • Ottawa, IL
  • NPI 1669570263
  NPD (past) Authorized official

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1144685702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 POLARIS CIR",
            "address_2": "SUITE 1",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501773",
            "telephone_number": "815-434-1022",
            "fax_number": "815-434-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 POLARIS CIR",
            "address_2": "SUITE 1",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501773",
            "telephone_number": "815-434-1022",
            "fax_number": "815-434-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M CONNESS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "CONNESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-434-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Brij Jamnadas, M.D.
• Heidi Lynn Janzen, CCC-SLP
• Amanda Lynn Jecklin, LSW
• Payton Michael Jensen
• John C Harbeck DDS PC
• John T Emmert OD PC
• Kari Lynn Johnson, M.ED,QMHP
• Heather M Johnston, APN
• Brittany Marie Jones, DPM
• Rebecca Lynn Jones, P.T.

• General Practice Dentistry in Ottawa, IL
• Providers in Ottawa, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.