Active NPI
Nolin Connell
- General Practice Dentistry
- Muscle Shoals, AL
National Provider Identifier
1346866639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.0006772-C1
- Practice address
- 1610 Edison Ave
Muscle Shoals, AL 35661-2530 - Phone
- (256) 383-5770
- NPI assigned
- Jun 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.0006772-C1 | AL | Primary |
Addresses
Primary practice location
1610 Edison Ave
Muscle Shoals, AL 35661-2530
Mailing address
1610 Edison Ave
Muscle Shoals, AL 35661-2530
Phone (256) 627-5659
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nolinconnelldmd@connelldental.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.0006772-C1 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. J Keith Connell, DMD | Current | Accepting new patients |
Locations
1610 Edison Ave
Muscle Shoals, AL 35661
Phone (256) 383-5770
Organizations & group practices 1
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.
-
- Dentist
- Muscle Shoals, AL
- NPI 1962393850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1346866639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 EDISON AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612530",
"telephone_number": "256-627-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 EDISON AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612530",
"telephone_number": "256-383-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "NOLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.0006772-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nolinconnelldmd@connelldental.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1610 Edison Ave",
"city": "Muscle Shoals",
"state": "AL",
"country_code": "US",
"postal_code": "356612530",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.