Individual provider Active NPI

Ann L Connors, D.D.S.

  • General Practice Dentistry
  • Iowa City, IA
National Provider Identifier
1255540753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7186 Issued in IA
Practice address
803 E Market St
Iowa City, IA 52245-2643
Phone
(319) 337-7797
Fax
(319) 341-9239
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7186 IA Primary

Addresses

Primary practice location

803 E Market St
Iowa City, IA 52245-2643

Mailing address

803 E Market St
Iowa City, IA 52245-2643
Phone (319) 337-7797

Other identifiers 1

IdentifierTypeStateIssuer
0096503MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000524 IA Order and Referring Only - DentistPractitioner - Dentist 1254621378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7186IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Family Dental General Practice PastSince Dec 1, 2024 Accepting new patients
Ann L. Connors, D.D.S., PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255540753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E MARKET ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452643",
            "telephone_number": "319-337-7797",
            "fax_number": "319-341-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E MARKET ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452643",
            "telephone_number": "319-337-7797",
            "fax_number": "319-341-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096503",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.