Active NPI
Nathan Michael McConnell, D.D.S.
- Dentist
- Lincoln, NE
National Provider Identifier
1124280607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6687
- Practice address
- 122 N 11TH St Apt 404
Lincoln, NE 68508-3642 - Phone
- (402) 730-4268
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6687 | NE | Primary |
Addresses
Primary practice location
122 N 11TH St Apt 404
Lincoln, NE 68508-3642
Mailing address
122 N 11TH St Apt 404
Lincoln, NE 68508-3642
Phone (402) 730-4268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510000492 | NE | Order and Referring Only - Dentist | 7719276021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1124280607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 N 11TH ST APT 404",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685083642",
"telephone_number": "402-730-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 N 11TH ST APT 404",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685083642",
"telephone_number": "402-730-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "NATHAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.