NPIMap

Organization Active NPI

Jill M. O'Connell, DMD, PC

  • General Practice Dentistry
  • Auburn, MA
National Provider Identifier
1275614349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19004 Issued in MA
Legal business name
JILL M. O'CONNELL, DMD, PC
Practice address
730 Southbridge St
Auburn, MA 01501-1319
Phone
(508) 721-9558
Fax
(508) 721-9559
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jill Marie O'Connell, DMDNPI 1356339162
Title
Owmer
Phone
(508) 721-9558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19004 MA Primary

Addresses

Primary practice location

730 Southbridge St
Auburn, MA 01501-1319

Mailing address

235 Prospect St
Auburn, MA 01501-3344
Phone (508) 832-2408

National Provider Directory

National Provider Directory

Locations

730 Southbridge St
Auburn, MA 01501
Phone (508) 721-9558

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275614349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PROSPECT ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015013344",
            "telephone_number": "508-832-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015011319",
            "telephone_number": "508-721-9558",
            "fax_number": "508-721-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL M. O'CONNELL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWMER",
        "authorized_official_telephone_number": "508-721-9558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • 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.