Active NPI
Suzanne Grace O'Connor, LCPO
- Orthotist
- Dallas, TX
National Provider Identifier
1396983904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 73
- Practice address
- 1440 Regal Row
Ste 230
Dallas, TX 75247-3631 - Phone
- (214) 819-8012
- Fax
- (214) 819-8047
- NPI assigned
- Feb 4, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 73 | TX | |
| Orthotist | 222Z00000X | 73 | TX | Primary |
Addresses
Primary practice location
1440 Regal Row
Ste 230
Dallas, TX 75247-3631
Mailing address
1440 Regal Row
Ste 230
Dallas, TX 75247-3631
Phone (214) 819-8012
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop |
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 |
|---|---|---|---|
| 73 | TX | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O & P Services Inc. | Orthotist | Current | Accepting new patients |
Locations
1440 Regal Row
Ste 230
Dallas, TX 75247
Phone (214) 819-8012
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1396983904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 REGAL ROW",
"address_2": "STE 230",
"city": "DALLAS",
"state": "TX",
"postal_code": "752473631",
"telephone_number": "214-819-8012",
"fax_number": "214-819-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 REGAL ROW",
"address_2": "STE 230",
"city": "DALLAS",
"state": "TX",
"postal_code": "752473631",
"telephone_number": "214-819-8012",
"fax_number": "214-819-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "SUZANNE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "LCPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "73",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "73",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "1440 Regal Row",
"address_2": "STE 230",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752473631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.