Individual provider Active NPI

James F. Connors II, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Leominster, MA
National Provider Identifier
1538143128
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20897 Issued in MA
Practice address
2 Jungle Rd
Leominster, MA 01453-5208
Phone
(978) 534-8300
Fax
(978) 840-8508
NPI assigned
Dec 6, 2005
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20897 MA Primary
Specialist 174400000X 20897 MA

Addresses

Primary practice location

2 Jungle Rd
Leominster, MA 01453-5208

Mailing address

2 Jungle Rd
Leominster, MA 01453-5208
Phone (978) 534-8300

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

LicenseStateTypeSpecialty
20897MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mass Oral and Maxillofacial Surgery, P.C. Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1538143128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JUNGLE RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535208",
            "telephone_number": "978-534-8300",
            "fax_number": "978-840-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JUNGLE RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535208",
            "telephone_number": "978-534-8300",
            "fax_number": "978-840-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS II",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20897",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "20897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.