John Keith Connell, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4083 Issued in AL

Practice address

1610 Edison Ave
Muscle Shoals, AL 35661-2530

Phone

(256) 383-5770

NPI assigned

Mar 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. J Keith Connell, DMD

  • Dentist
  • Muscle Shoals, AL
  • NPI 1962393850
  NPD (past)

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528197969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 EDISON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612530",
            "telephone_number": "256-383-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 EDISON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612530",
            "telephone_number": "256-383-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "JOHN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Taylor Cleveland, LPC
• Bonnie Rachel Cochran, NP
• Colbert Emergency Group LLC
• Amy Michelle Coleman-Kirkman, LICSW
• Krystain Noel Coleman, OTD, OTR/L, CLT
• Nolin Connell
• Stephanie Cotner
• William Thomas Countiss Jr., R.PH.
• Jason Cowan, D.O.
• Ashley Crosby

• Dentist in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Dentist in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.