Timothy Allen McConnell, DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17797 Issued in CA

Practice address

4205 San Felipe Rd Ste 210
San Jose, CA 95135-1550

Phone

(408) 502-1408

NPI assigned

Jan 24, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Good Life Acuuncture PC

  • Acupuncturist
  • San Jose, CA
  • NPI 1649804600
  NPD Authorized official
• Modern Oriental Medicine and Acupuncture Inc

  • Acupuncturist
  • San Jose, CA
  • NPI 1730786310
  NPD Authorized official

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1235637281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 GUMDROP DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482022",
            "telephone_number": "408-234-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351550",
            "telephone_number": "408-502-1408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Gumdrop Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951482022",
            "country_code": "US",
            "telephone_number": "408-234-4826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Calaveras Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950357708",
            "country_code": "US",
            "telephone_number": "408-234-4826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McCollum
• Marcella McCollum, M.A., CCC-SLP
• Taylor McCombs
• Autumn Cade McConnell, M.A., LMFT
• Rebecca L. McConnell, AA, BA, MA
• McCormack Drugs Inc
• Marta McCormack
• Matthew Thomas McCormack, D.C.
• Mel David McCormick, AMFT
• Naomi Hideko McCormick, ASW

• All providers in San Jose, CA
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.