Individual provider Active NPI

Daniel Karl Oconnor, MD

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1629049457
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
33962 Issued in AZ
Practice address
18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone
(480) 306-7242
Fax
(480) 306-6246
NPI assigned
Jan 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33962 AZ
Interventional Pain Medicine Physician 208VP0014X 33962 AZ Primary

Addresses

Primary practice location

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255

Mailing address

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone (480) 306-7242

Other identifiers 2

IdentifierTypeStateIssuer
967713MedicaidAZ
P00353896OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000494 AZ Practitioner - Anesthesiology 9436174067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Pain and Wellness PLC Anesthesiology CurrentSince May 10, 2016 Accepting new patients
Innovative Pain and Wellness PLC Interventional Pain Medicine CurrentSince May 1, 2017 Accepting new patients
Advanced Pain Network, LLC Current Accepting new patients

Locations

8110 W Union Hills Dr
Ste 320
Glendale, AZ 85308
Phone (480) 306-7242

1921 S Alma School Rd
Ste 110
Mesa, AZ 85210
Phone (480) 573-0414

6553 E Baywood Ave
Ste 201
Mesa, AZ 85206
Phone (480) 206-7242

1277 E Missouri Ave
Ste 102
Phoenix, AZ 85014
Phone (480) 467-2273

22601 N 19th Ave
Ste 100
Phoenix, AZ 85027
Phone (623) 231-2443

2340 E Beardsley Rd
Phoenix, AZ 85024

4337 W Indian School Rd
Ste 107
Phoenix, AZ 85031
Phone (480) 306-7242

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone (480) 306-7242

5425 E Bell Rd
Ste 115
Scottsdale, AZ 85254
Phone (480) 467-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFDDD/Endpoint/ACFDDD

Organizations & group practices 11

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629049457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 N SCOTTSDALE RD",
            "address_2": "STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-306-7242",
            "fax_number": "480-306-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 N SCOTTSDALE RD",
            "address_2": "STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-306-7242",
            "fax_number": "480-306-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "DANIEL",
        "middle_name": "KARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "33962",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "33962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "967713",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00353896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.