Active NPI
Michael A. McConnell, MD
- Dermatology Physician
- Sioux Falls, SD
National Provider Identifier
1457356552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4637
- Practice address
- 1310 W 22ND St
Sioux Falls, SD 57105-1501 - Phone
- (605) 328-8600
- Fax
- (605) 328-8601
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4637 | SD | Primary |
Addresses
Primary practice location
1310 W 22ND St
Sioux Falls, SD 57105-1501
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900372 | Medicaid | SD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4637 | SD | MD | Dermatology Physician |
Interoperability endpoints
- michael.mcconnell.1@20443.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457356552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-9556",
"fax_number": "605-328-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051501",
"telephone_number": "605-328-8600",
"fax_number": "605-328-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "MICHAEL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SD",
"license": "4637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900372",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.