Thomason Michael McConnell, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5267 Issued in OK

Practice address

1200 W 4TH St
Suite a
Tahlequah, OK 74464-5013

Phone

(918) 458-9100

Fax

(918) 458-9200

NPI assigned

Jul 22, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Thomason M McConnell DDS

  • General Practice Dentistry
  • Tahlequah, OK
  • NPI 1649318882
  NPD (past) Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124049119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 4TH ST",
            "address_2": "SUITE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645013",
            "telephone_number": "918-458-9100",
            "fax_number": "918-458-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 4TH ST",
            "address_2": "SUITE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645013",
            "telephone_number": "918-458-9100",
            "fax_number": "918-458-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "THOMASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VIRGINIA",
            "identifier": "214781",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "814714",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Mattox
• Mayes County Hma Home Health, LLC
• Caitlin Erin McArthur, LCSW
• Julie McCandless, RN
• Denise Kathleen McClure
• Melissa McCoy
• Cole Morgan McCrary, PHARMACIST
• Marilyn McDowell
• David E McGehee, R.PH.
• Alan McKee, OD

• General Practice Dentistry in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.