Michael F Connor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50000890G Issued in WI

Practice address

603 N Rochester Street
Mukwonago, WI 53149

Phone

(262) 363-4041

Fax

(262) 363-3908

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184777435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S109W34791 JACKS BAY RD",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499505",
            "telephone_number": "262-594-2612",
            "fax_number": "262-363-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N ROCHESTER STREET",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "53149",
            "telephone_number": "262-363-4041",
            "fax_number": "262-363-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "50000890G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crysta Clark, DPT
• Sarah Cleaver
• Stephanie L Coates-McFeeley, M.S., LPC, SAC
• Katherine Diane Collins, LCSW 06/13-18
• Kirsten Sarah Collins, NP
• Jennifer Jean Cook, RN
• Jean Cottrell, R.N.
• Kathryn Craig, OTR
• Crossroad Therapy, LLC
• Mackenzie Dederich

• General Practice Dentistry in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.