Active NPI
Raymond V. McConnell, DDS
- General Practice Dentistry
- West Warwick, RI
National Provider Identifier
1437299013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1402
- Practice address
- 11 Bank St
West Warwick, RI 02893-4801 - Phone
- (401) 821-3149
- Fax
- (401) 822-5077
- NPI assigned
- Feb 6, 2007
- 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 | 1402 | RI | Primary |
Addresses
Primary practice location
11 Bank St
West Warwick, RI 02893-4801
Mailing address
11 Bank St
West Warwick, RI 02893-4801
Phone (401) 821-3149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8259-2 | Other | RI | BLUE CROSS |
| RM03011 | Medicaid | RI |
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 |
|---|---|---|---|
| 1402 | RI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437299013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BANK ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028934801",
"telephone_number": "401-821-3149",
"fax_number": "401-822-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BANK ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028934801",
"telephone_number": "401-821-3149",
"fax_number": "401-822-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "RAYMOND",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "1402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8259-2",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RM03011",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.