NPIMap

Organization Active NPI

Kevin O'Connell DDS LLC

  • Dentist
  • Clinton, CT
National Provider Identifier
1154668333
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9186 Issued in CT
Legal business name
KEVIN O'CONNELL DDS LLC
Practice address
149 E Main St Ste 4
Clinton, CT 06413-2103
Phone
(860) 669-5756
Fax
(860) 664-3937
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Kevin O'Connell, DDSNPI 1710012497
Title
Dentist, Owner
Phone
(860) 669-5756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9186 CT Primary

Addresses

Primary practice location

149 E Main St Ste 4
Clinton, CT 06413-2103

Mailing address

149 E Main St Ste 4
Clinton, CT 06413-2103
Phone (860) 669-5756

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1154668333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E MAIN ST STE 4",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132103",
            "telephone_number": "860-669-5756",
            "fax_number": "860-664-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E MAIN ST STE 4",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132103",
            "telephone_number": "860-669-5756",
            "fax_number": "860-664-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN O'CONNELL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "860-669-5756",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.