Individual provider Active NPI

Meghan Kathleen O'Connell, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Sam Houston, TX
National Provider Identifier
1730413261
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
31686 Issued in TX
Practice address
2748 Worth Rd
Suite 4
Fort Sam Houston, TX 78234-6031
Phone
(210) 221-6326
Fax
(210) 221-7161
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6446-015 WI
General Practice Dentistry 1223G0001X 6446-015 WI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6446-015 WI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 31686 TX Primary

Addresses

Primary practice location

2748 Worth Rd
Suite 4
Fort Sam Houston, TX 78234-6031

Mailing address

2748 Worth Rd
Suite 4
Fort Sam Houston, TX 78234-6031
Phone (210) 221-6326

Other names 1

  • Dr. Meghan Kathleen Fahey Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6446-015WIMDDentist
31686TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1730413261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 WORTH RD",
            "address_2": "SUITE 4",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346031",
            "telephone_number": "210-221-6326",
            "fax_number": "210-221-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 WORTH RD",
            "address_2": "SUITE 4",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346031",
            "telephone_number": "210-221-6326",
            "fax_number": "210-221-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "MEGHAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6446-015",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6446-015",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "6446-015",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "31686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "FAHEY",
            "middle_name": "KATHLEEN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.