Active NPI
Jill M O'Connell, DMD
- Dentist
- Auburn, MA
National Provider Identifier
1356339162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19004
- Practice address
- 730 Southbridge St
Auburn, MA 01501-1319 - Phone
- (508) 721-9558
- Fax
- (508) 721-9559
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150518000651 | MA | Order and Referring Only - Other (Physician) | 0345560272 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19004 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jill M. O'Connell, DMD, PC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Auburn, MA
- NPI 1275614349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356339162",
"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": {
"last_name": "O'CONNELL",
"first_name": "JILL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.