Organization Active NPI

Conlon & Thompson Orthodontics, LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • McHenry, IL
National Provider Identifier
1245353606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CONLON & THOMPSON ORTHODONTICS, LTD.
Practice address
4104 W Crystal Lake Rd
McHenry, IL 60050-4204
Phone
(815) 344-2840
Fax
(815) 344-2859
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Lee Conlon, D.D.S., M.S.NPI 1548598923
Title
President
Phone
(815) 344-2840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4104 W Crystal Lake Rd
McHenry, IL 60050-4204

Mailing address

4104 W Crystal Lake Rd
McHenry, IL 60050-4204
Phone (815) 344-2840

Other names 1

  • Conlon Orthodontics, Ltd. Former legal business name

National Provider Directory

National Provider Directory

Locations

4104 W Crystal Lake Rd
McHenry, IL 60050
Phone (815) 344-2840

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245353606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 W CRYSTAL LAKE RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504204",
            "telephone_number": "815-344-2840",
            "fax_number": "815-344-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 W CRYSTAL LAKE RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504204",
            "telephone_number": "815-344-2840",
            "fax_number": "815-344-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLON & THOMPSON ORTHODONTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-344-2840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conlon Orthodontics, Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.