Individual provider Active NPI

Conor M Wierus, DDS

  • General Practice Dentistry
  • Oak Lawn, IL
National Provider Identifier
1225627532
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.032978 Issued in IL
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

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
DN25773FLMDDentist
019.032978ILMDGeneral 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.

Verify at the official NPI Registry.