Connor Cockrell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11316196-9922 Issued in UT

Practice address

6957 S 1300 E
Cottonwood Heights, UT 84047-1817

Phone

(385) 342-1074

NPI assigned

Sep 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1043869290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 E LAMBOURNE AVE",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841092743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 S 1300 E",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471817",
            "telephone_number": "385-342-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11316196-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie R Clement
• Lucas Clementi
• Kimberly Clevenger
• Cameron Clifford
• Allen Dwayne Cloar
• Maiya Yuriko Coleman
• Compass Pain Clinic Utah LLC
• Amelia Connors
• Angela Cook
• Carla J Cook, LCSW

• General Practice Dentistry in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.