Jessica G McConnell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6061 Issued in NC

Practice address

320 W Ransom St
Fuquay Varina, NC 27526-2432

Phone

(919) 552-5113

Fax

(919) 552-2193

NPI assigned

Nov 1, 2006

Sex

Female

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

Enrolled in NC

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

State licenses

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.

• Jessica McConnell DDS

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1588978571
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124106117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W RANSOM ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262432",
            "telephone_number": "919-552-5113",
            "fax_number": "919-552-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W RANSOM ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262432",
            "telephone_number": "919-552-5113",
            "fax_number": "919-552-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JESSICA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren McBean, M.S., CF-SLP
• Tarsha Medley McBride, RN
• Kyanna Nikohl McCafferty, LCSWA
• Jkiyah Renea McClarin
• Leah C. McConkey, M.S., CCC-SLP
• Bryden Sloan McCormick, D.D.S.
• Camille B McDaniel
• Shermonique McDonald
• Malaya McFadyen
• Sarah McGovern

• General Practice Dentistry in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• General Practice Dentistry in North Carolina

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