Active NPI
Daniel O'Connor, MD
- MOHS-Micrographic Surgery Physician
- Dover, NH
National Provider Identifier
1548792914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 22737
- Practice address
- 784 Central Ave
Dover, NH 03820-2549 - Phone
- (603) 742-5556
- NPI assigned
- Apr 3, 2017
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 22737 | NH | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 22737 | NH | Primary |
Addresses
Primary practice location
784 Central Ave
Dover, NH 03820-2549
Mailing address
784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556
Other practice location 1
2299 Woodbury Ave Ste 3
Newington, NH 03801-7854
Phone (603) 742-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Perelman School of Med at the University of Pennsylvania, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
784 Central Ave
Dover, NH 03820-2549
Phone (603) 742-5556
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.49 of 100
- Quality
- 78.35
- Improvement activities
- 40
- Cost
- 93.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 235 |
| Removal of skin lesions | 22 |
| Removal of skin cancer | 667 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology and Skin Health LLC | Single Specialty | Current | Accepting new patients |
| Campbell Dermatology PA | Single Specialty | Current | Accepting new patients |
Locations
784 Central Ave
Dover, NH 03820
Phone (603) 742-5556
2299 Woodbury Ave
Ste 3
Newington, NH 03801
Phone (603) 742-5556
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1548792914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202549",
"telephone_number": "603-742-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202549",
"telephone_number": "603-742-5556"
}
],
"practiceLocations": [
{
"address_1": "2299 Woodbury Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Newington",
"state": "NH",
"postal_code": "038017854",
"country_code": "US",
"telephone_number": "603-742-5556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "22737",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NH",
"license": "22737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.