JOHN MANNELLY
NPI 1881979466
Dentist - General Practice in Machesney Park, IL

Active since October 14, 2011
1363 W LANE RD, MACHESNEY PARK, IL 61115(815) 637-2800 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Mannelly NPPES

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

JOHN MANNELLY (NPI 1881979466) is an individual general practice provider in Machesney Park, Illinois, licensed in Illinois (019.028879) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1881979466
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN MANNELLY
Location Address1363 W LANE RDMachesney Park, IL 61115-1621
Mailing Address880 Bristol DrBarrington, IL 60010-4507
Sole ProprietorNo
Enumeration DateOctober 14, 2011
Last NPPES UpdateJanuary 5, 2012
NPI 1881979466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.028879
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.
1363 W LANE RD, Machesney Park, IL 61115

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
1363 W LANE RD
MACHESNEY PARK, IL 61115
Dentist
1363 W LANE RD
MACHESNEY PARK, IL 61115
Dentist (General Practice)
1363 W LANE RD
MACHESNEY PARK, IL 61115

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 Mannelly's NPI number?

The NPI number for John Mannelly is 1881979466. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is John Mannelly located?

John Mannelly practices at 1363 W Lane Rd, Machesney Park, IL 61115. The listed phone number is (815) 637-2800.

What is John Mannelly's specialty?

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

What insurance does John Mannelly accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list John Mannelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Mannelly was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.