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MR. JOHN L CONNOLLY DDS
NPI 1396813820
Dentist - General Practice in Cloquet, MN

Active since December 01, 2006PECOS Enrolled
1600 WASHINGTON AVE, CLOQUET, MN 55720(218) 879-6703(218) 499-8033 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2024, Jan 12, 2023 (2 updates tracked since 2023).

About Mr. John L Connolly Dds NPPES

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

MR. JOHN L CONNOLLY DDS (NPI 1396813820) is an individual general practice provider in Cloquet, Minnesota, licensed in Minnesota (8214) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396813820
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. JOHN L CONNOLLYCredential: DDS
Location Address1600 WASHINGTON AVECloquet, MN 55720
Mailing Address1600 Washington AveCloquet, MN 55720 · (218) 879-6703 · Fax (218) 879-7029
Phone(218) 879-6703
Fax(218) 499-8033
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1396813820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 8214
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.
1600 WASHINGTON AVE, Cloquet, MN 55720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John L Connolly Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Connolly's NPI number?

The NPI number for John Connolly is 1396813820. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is John Connolly located?

John Connolly practices at 1600 Washington Ave, Cloquet, MN 55720. The listed phone number is (218) 879-6703.

What is John Connolly's specialty?

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

Is John Connolly enrolled in Medicare?

Yes. John Connolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Connolly was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.