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

211 Armory CT
Streator, IL 61364-2768

Phone

(815) 672-2080

Fax

(815) 672-4119

NPI assigned

Jan 15, 2016

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, DDS

Title

Owner

Phone

(815) 672-2080

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
  • Ottawa, IL
  • NPI 1144685702
  NPD tax ID

Locations

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1265899637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ARMORY CT",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642768",
            "telephone_number": "815-672-2080",
            "fax_number": "815-672-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ARMORY CT",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642768",
            "telephone_number": "815-672-2080",
            "fax_number": "815-672-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M CONNESS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "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": "815-672-2080",
        "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": []
}

• Indra Pal MDSC
• Infinity-Meds LLP
• Mervin Tan Inot
• Deborah Ann Jackson, PTA
• Shin Joh, M.D.
• Jessica Johnson, DPM
• Shannon R Johnson
• Dani L Jorgenson, CADC
• Christine Kitner, LMT
• Leonard Kokalj

• General Practice Dentistry in Streator, IL
• Providers in Streator, 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.