NPIMap

Organization Active NPI

Steven McConnell, DDS Inc

  • Dentist
  • Novato, CA
National Provider Identifier
1376930966
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STEVEN MCCONNELL, DDS INC
Practice address
1730 Novato Blvd Ste a
Novato, CA 94947-3048
Phone
(415) 897-4149
Fax
(415) 892-2309
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Steven McConnell, DDS
Title
Owner / President
Phone
(415) 897-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1730 Novato Blvd Ste a
Novato, CA 94947-3048

Mailing address

1730 Novato Blvd Ste a
Novato, CA 94947-3048
Phone (415) 897-4149

Other names 1

  • The Marin Center for Restorative & Cosmetic Dentsitry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steven L McConnell Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1730 Novato Blvd
Ste A
Novato, CA 94947
Phone (415) 897-4149

Practitioners & affiliated clinicians

Practitioners 1

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": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1376930966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD STE A",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-897-4149",
            "fax_number": "415-892-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NOVATO BLVD STE A",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473048",
            "telephone_number": "415-897-4149",
            "fax_number": "415-892-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN MCCONNELL, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "415-897-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Marin Center for Restorative & Cosmetic Dentsitry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.