Jay Charles McConnell, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6367 Issued in NE

Practice address

7001 A St Ste 101
Lincoln, NE 68510-4205

Phone

(402) 486-3630

Fax

(402) 486-3637

NPI assigned

May 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1356577704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 A ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104205",
            "telephone_number": "402-486-3630",
            "fax_number": "402-486-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 A ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104205",
            "telephone_number": "402-486-3630",
            "fax_number": "402-486-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JAY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NE",
            "license": "6367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlene Konz McClung, M.S., CCC-SLP
• Stephanie McClung, OT
• Jeanne Lynn McClure
• Rita Jo McClure, LPN
• Christina McConnell
• Nathan Michael McConnell, D.D.S.
• Rachelle Leigh McCormick-Gaston
• Melanie Faith McCormick, MD
• Brenda McCown
• Heather Ann McCown

• Endodontics in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Endodontics in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.

Verify at the official NPI Registry.