DR. JON W. CONRAD D.O.
NPI 1336111343
Dentist - General Practice in Coffeyville, KS

Q: What is Jon Conrad's NPI number?

The NPI number for Jon Conrad is 1336111343. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Jon Conrad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jon Conrad was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 03, 2006

808 WILLOW ST, COFFEYVILLE, KS 67337(620) 251-3920(620) 251-3923 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Jon W. Conrad D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON W. CONRAD D.O. (NPI 1336111343) is an individual general practice provider in Coffeyville, Kansas, licensed in Kansas (5417) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1336111343

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JON W. CONRADCredential: D.O.

Location Address808 WILLOW STCoffeyville, KS 67337-5851

Mailing Address808 Willow St, Po Box 374Coffeyville, KS 67337-5851 · (620) 251-3920 · Fax (620) 251-3923

Phone(620) 251-3920

Fax(620) 251-3923

Sole ProprietorYes

Enumeration DateFebruary 3, 2006

Last NPPES UpdateJanuary 23, 2015

✔ NPI 1336111343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KS · 5417

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

808 WILLOW ST, Coffeyville, KS 67337

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Other Identifiers 1

Other08906KS · Blue Cross Blue Shield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROY NICHOLAS BARONE DDS

Dentist (General Practice)

808 WILLOW ST
COFFEYVILLE, KS 67337

Montgomery County (620) 251-3560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Conrad's NPI number?

The NPI number for Jon Conrad is 1336111343. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Jon Conrad located?

Jon Conrad practices at 808 Willow St, Coffeyville, KS 67337. The listed phone number is (620) 251-3920.

What is Jon Conrad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jon Conrad was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.