NPIMap

Organization Active NPI

Dr. Thomason M McConnell DDS

Doing business as Family Dentistry

  • General Practice Dentistry
  • Tahlequah, OK
National Provider Identifier
1649318882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5267 Issued in OK
Legal business name
DR. THOMASON M MCCONNELL DDS
Doing business as
Family Dentistry
Practice address
1200 W 4TH St Ste a
Tahlequah, OK 74464-5013
Phone
(918) 458-9100
Fax
(918) 458-9200
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomason Michael McConnell, D.D.S.NPI 1124049119
Title
Dentist
Phone
(918) 458-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5267 OK Primary

Addresses

Primary practice location

1200 W 4TH St Ste a
Tahlequah, OK 74464-5013

Mailing address

1200 W 4TH St Ste a
Tahlequah, OK 74464-5013
Phone (918) 458-9100

Other identifiers 2

IdentifierTypeStateIssuer
814714OtherUNITED CONCORDIA
214781OtherVATRIGON

Other names 1

  • Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1200 W 4th St
Ste A
Tahlequah, OK 74464
Phone (918) 458-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649318882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 4TH ST STE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645013",
            "telephone_number": "918-458-9100",
            "fax_number": "918-458-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 4TH ST STE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645013",
            "telephone_number": "918-458-9100",
            "fax_number": "918-458-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THOMASON M MCCONNELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "THOMASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-458-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "814714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "214781",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.