Active NPI 1336111343 Individual Practitioner Male Practitioner

Dr. Jon W. Conrad , DO

Dentist - General Practice • Coffeyville, KS

Professional Overview & Biography Verified Profile Summary

Dr. Jon Conrad, DO is a registered healthcare professional specializing in Dentist - General Practice in Coffeyville, KS. Practice services are available at 808 WILLOW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

808 Willow St

Coffeyville, KS 673375851

Telephone 6202513920

Fax 6202513923

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Coffeyville, KS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 17.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Coffeyville, KS (1140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 5417

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield

08906 (KS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Roy Barone , DDS

Dentist - General Practice

NPI 1609989060

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 23, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2015

Registered at 808 WILLOW ST, COFFEYVILLE, KS 673375851 (Tel: 6202513920)

📍

Updated Business Mailing Address January 23, 2015

Registered at 808 WILLOW ST, PO BOX 374, COFFEYVILLE, KS 673375851 (Tel: 6202513920)

👤

Provider Name / Credentials Updated January 23, 2015

Recorded as JON CONRAD, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2015

Dentist (License #5417 in KS)

🟢

Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336111343

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 03, 2006

Last Update: January 23, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

808 Willow St, Po Box 374

Coffeyville, KS 673375851

Phone: 6202513920

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.