Frederick Robert O'Donnell, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5126 Issued in OR

Practice address

487 E 11TH Ave
Eugene, OR 97401-3605

Phone

(541) 686-9740

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306973490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013605",
            "telephone_number": "541-686-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013605",
            "telephone_number": "541-686-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "FREDERICK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "5126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "709826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Morgan O'Connell, LPC
• Spencer Glenn O'Connell
• Kathleen L O'Connor
• Kristin Marie Althea O'Connor
• Natalie Elizabeth O'Dell, MS
• Sally A. O'Donnell, L.C.S.W.
• Kimberly Shawn O'Grady, OTR/L
• Stephan O'Hair
• Amanda Margaret O'Hala, PA-C
• Joseph David O'Hala, PA-C

• Endodontics in Eugene, OR
• Providers in Eugene, OR by specialty
• Endodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.