Michael J. O'Connell, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14226 Issued in MO

Legal business name

MICHAEL J. O'CONNELL, DMD, LLC

Practice address

718 N New Ballas Rd
Creve Coeur, MO 63141-6716

Phone

(314) 567-1600

Fax

(314) 567-7902

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael J O'Connell, DMDNPI 1730294323

Title

Owner

Phone

(314) 567-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Oconnell, DMD LLC

  • Dentist
  • Creve Coeur, MO
  • NPI 1730294323
  NPD (past) Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205966611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416716",
            "telephone_number": "314-567-1600",
            "fax_number": "314-567-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416716",
            "telephone_number": "314-567-1600",
            "fax_number": "314-567-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. O'CONNELL, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-567-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichelle S Meriwether, MA
• Sarah Merritt, LCSW
• Metro Imaging, LLC
• Tanner McKenzie Meyer, LMSW
• Taylor Meyer
• Jennifer Bond Michaels
• John Michalka
• Mid-Town Medical Practice, LLC
• Mid-West Podiatry & Associates, LLC
• Mid-West Podiatry and Associates, LLC

• General Practice Dentistry in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.