Nathan Andrew Oconnor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10492 Issued in WA

Practice address

1015 So 40TH Ave
Suite 15
Yakima, WA 98908-3867

Phone

(509) 966-0660

Fax

(509) 965-0417

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oconnor Family Dentistry

  • Dentist
  • Yakima, WA
  • NPI 1295926954

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760524276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SO 40TH AVE",
            "address_2": "SUITE 15",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083867",
            "telephone_number": "509-966-0660",
            "fax_number": "509-965-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SO 40TH AVE",
            "address_2": "SUITE 15",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083867",
            "telephone_number": "509-966-0660",
            "fax_number": "509-965-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051057",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Ochoa, RN
• Francis Jo Ochoa, LMP
• Rubi Unique Ochoa
• Oconnor Family Dentistry
• Lisa Marie Oconnor, RPH
• Tim Lawrence Oconnor, DDS
• Cynthia E Odom, LMP
• Onyinye Nkiru Ofoma
• Gloria Ogabi, MD
• Kandi Ogden-Moles

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.