Mary Ann McConnell

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP229 Issued in CA

Practice address

14 Paseo Luna
San Clemente, CA 92673-6501

Phone

(949) 697-7303

Fax

(949) 388-9997

NPI assigned

Jan 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mobile Dental Cleaning

  • Dental Hygienist
  • San Clemente, CA
  • NPI 1336542000
  NPD (past) Authorized official

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1760620017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PASEO LUNA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736501",
            "telephone_number": "949-697-7303",
            "fax_number": "949-388-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PASEO LUNA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736501",
            "telephone_number": "949-697-7303",
            "fax_number": "949-388-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MARY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-24",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Massamiri, MPT, ATC
• James Matsuba
• Makenna Maucher, OTR/L
• Carolyn Maxwell
• Cynthia Mayorga
• Kelsey McCoy
• Celia McCrary
• Belinda Jane McDonald, PT, COMT
• Cheryl Eileen McDonough, D.M.D.
• Ronald K. McGee, MD

• Dental Hygienist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.