NPIMap

Organization Active NPI

Oconnor Family Dentistry

  • Dentist
  • Yakima, WA
National Provider Identifier
1295926954
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4241 Issued in WA
Legal business name
OCONNOR FAMILY DENTISTRY
Practice address
1015 So 40TH Ave
#15
Yakima, WA 98908
Phone
(509) 966-0660
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Nathan Andrew OconnorNPI 1760524276
Title
Partner
Phone
(509) 966-0660

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4241 WA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10492 WA

Addresses

Primary practice location

1015 So 40TH Ave
#15
Yakima, WA 98908

Mailing address

1015 So 40TH Ave
#15
Yakima, WA 98908
Phone (509) 966-0660

Other identifiers 1

IdentifierTypeStateIssuer
5051040MedicaidWA

National Provider Directory

National Provider Directory

Locations

1015 S 40th Ave
Ste 15
Yakima, WA 98908
Phone (509) 966-0660

Practitioners & affiliated clinicians

Practitioners 2

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1295926954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SO 40TH AVE",
            "address_2": "#15",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98908",
            "telephone_number": "509-966-0660",
            "fax_number": "509-965-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SO 40TH AVE",
            "address_2": "#15",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98908",
            "telephone_number": "509-966-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONNOR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "509-966-0660"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4241",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051040",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.