Active NPI
David Francis O'Connor, D.M.D.
- Endodontics
- Toledo, OH
National Provider Identifier
1194876482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 20836
- Practice address
- 4352 W Sylvania Ave
Ste D
Toledo, OH 43623-3463 - Phone
- (419) 885-4691
- Fax
- (419) 824-0979
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 20836 | OH | Primary |
Addresses
Primary practice location
4352 W Sylvania Ave
Ste D
Toledo, OH 43623-3463
Mailing address
4312 N Holland Sylvania Rd
# 328
Toledo, OH 43623-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20836 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194876482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 N HOLLAND SYLVANIA RD",
"address_2": "# 328",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 W SYLVANIA AVE",
"address_2": "STE D",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233463",
"telephone_number": "419-885-4691",
"fax_number": "419-824-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "DAVID",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "20836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.