Active NPI
James Farrell McConnell III, DMD
- General Practice Dentistry
- Stansbury Park, UT
National Provider Identifier
1487769303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 369873
- Practice address
- 220 Millpond
#107
Stansbury Park, UT 84074-9745 - Phone
- (435) 882-2850
- Fax
- (435) 843-8852
- NPI assigned
- Aug 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4584 | NV | |
| General Practice Dentistry | 1223G0001X | 369873 | UT | Primary |
Addresses
Primary practice location
220 Millpond
#107
Stansbury Park, UT 84074-9745
Mailing address
220 Millpond
#107
Stansbury Park, UT 84074-9745
Phone (435) 882-2850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmcconnell676395@direct.med.utah.edu | Direct | University of Utah |
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 |
|---|---|---|---|
| 369873 | UT | MD | General Practice Dentistry |
Interoperability endpoints
- jmcconnell676395@direct.med.utah.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1487769303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MILLPOND",
"address_2": "#107",
"city": "STANSBURY PARK",
"state": "UT",
"postal_code": "840749745",
"telephone_number": "435-882-2850",
"fax_number": "435-843-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MILLPOND",
"address_2": "#107",
"city": "STANSBURY PARK",
"state": "UT",
"postal_code": "840749745",
"telephone_number": "435-882-2850",
"fax_number": "435-843-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "JAMES",
"middle_name": "FARRELL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4584",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "369873",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmcconnell676395@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stansbury Park, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.