Richard S. Conen D.D.S.,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-020803 Issued in IL

Legal business name

RICHARD S. CONEN D.D.S.,LLC

Practice address

4905 Old Orchard Center
Skokie, IL 60077

Phone

(847) 676-3388

Fax

(847) 679-3279

NPI assigned

Mar 14, 2012

Organization subpart

Yes

Parent organization

GENTLE DENTAL CARE P.C.As reported in NPPES

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

Authorized official

Name

Dr. Richard S. Conen, DDSNPI 1801886544

Title

President

Phone

(847) 372-3327

Specialties & licenses 1

Addresses

Part of

Gentle Dental Care PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gentle Dental Care P.C.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1598895989
  NPPES parent name

Practitioners 1

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

• Richard S Conen, DDS

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1801886544
  NPD (past) Authorized official

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1831464585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HILARY LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352342",
            "telephone_number": "847-372-3327",
            "fax_number": "847-831-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CENTER",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-676-3388",
            "fax_number": "847-679-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. CONEN D.D.S.,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTLE DENTAL CARE P.C.",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "CONEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-372-3327",
        "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": "019-020803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diane P Richard, RPH
• Rachel M Richardson, PA-C
• Elise J Richter
• Kathleen O'Connor Ricketts, M.S, M.S.W
• Mackenzie Riebel

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, 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 Mar 14, 2012; 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.