Organization Active NPI

Steven L McConnell Inc

  • Public Health Dentistry
  • Mill Valley, CA
National Provider Identifier
1447728589
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
STEVEN L MCCONNELL INC
Practice address
535 Miller Ave
Mill Valley, CA 94903
Phone
(405) 388-2172
Fax
(415) 388-0283
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Steven L McConnell
Title
DDS
Phone
(415) 897-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

535 Miller Ave
Mill Valley, CA 94903

Mailing address

535 Miller Ave
Mill Valley, CA 94903
Phone (405) 388-2172

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1447728589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "405-388-2172",
            "fax_number": "415-388-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "405-388-2172",
            "fax_number": "415-388-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L MCCONNELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "415-897-4149"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.