Active NPI
Conor M Wierus, DDS
- General Practice Dentistry
- Oak Lawn, IL
National Provider Identifier
1225627532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.032978
- Practice address
- 10735 S Cicero Ave Ste 101
Oak Lawn, IL 60453-6210 - Phone
- (708) 942-7287
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.032978 | IL | Primary |
| Dentist | 122300000X | DN25773 | FL |
Addresses
Primary practice location
10735 S Cicero Ave Ste 101
Oak Lawn, IL 60453-6210
Mailing address
9330 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33966-6505
Phone (239) 337-1008
Other practice location 1
9330 Ben C Pratt/6 Mile Cypress Pkwy
Fort Myers, FL 33966-6505
Phone (239) 337-1008
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cwierus5112@gmail.com | Direct | |
| CONNECT URL | cwierus5112@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN25773 | FL | MD | Dentist |
| 019.032978 | IL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787356800000",
"number": "1225627532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 BEN C PRATT/6 MILE CYPRESS PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666505",
"telephone_number": "239-337-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10735 S CICERO AVE STE 101",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536210",
"telephone_number": "708-942-7287"
}
],
"practiceLocations": [
{
"address_1": "9330 Ben C Pratt/6 Mile Cypress Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339666505",
"country_code": "US",
"telephone_number": "239-337-1008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIERUS",
"first_name": "CONOR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.032978",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25773",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cwierus5112@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10735 S Cicero Ave Ste 101",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604536210",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cwierus5112@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9330 Ben C Pratt/6 Mile Cypress Pkwy",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339666505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.