Organization Active NPI

McCarter, O'Connor and Friend

  • General Practice Dentistry
  • Galax, VA
National Provider Identifier
1750557898
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007655 Issued in VA
Legal business name
MCCARTER, O'CONNOR AND FRIEND
Practice address
206 W Washington St
Galax, VA 24333-2834
Phone
(276) 236-7408
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Susan Francis O'Connor, D.D.SNPI 1770502627
Title
Owner/Dentist
Phone
(276) 236-7408

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 0401007655 VA Primary

Addresses

Primary practice location

206 W Washington St
Galax, VA 24333-2834

Mailing address

206 W Washington St
Galax, VA 24333-2834
Phone (276) 236-7408

Other identifiers 1

IdentifierTypeStateIssuer
8200505MedicaidVA

National Provider Directory

National Provider Directory

Locations

206 W Washington St
Galax, VA 24333
Phone (276) 236-7408

Practitioners & affiliated clinicians

Practitioners 2

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1750557898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W WASHINGTON ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332834",
            "telephone_number": "276-236-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W WASHINGTON ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332834",
            "telephone_number": "276-236-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTER, O'CONNOR AND FRIEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "276-236-7408",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8200505",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.