Organization Active NPI

McConnell Dental Care III

  • Dentist
  • Stansbury Park, UT
National Provider Identifier
1770135923
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MCCONNELL DENTAL CARE III
Practice address
263 Country CLB Ste 102
Stansbury Park, UT 84074-9602
Phone
(435) 830-4967
NPI assigned
Jul 9, 2019
Organization subpart
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

Authorized official

Name
Dr. James Farrell McConnell III, DMD
Title
Owner
Phone
(435) 830-4967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

263 Country CLB Ste 102
Stansbury Park, UT 84074-9602

Mailing address

263 Country CLB Ste 102
Stansbury Park, UT 84074-9602
Phone (435) 830-4967

National Provider Directory

National Provider Directory

Locations

263 Country Club Dr
Ste 102
Stansbury Park, UT 84074
Phone (435) 830-4967

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1770135923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 COUNTRY CLB STE 102",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749602",
            "telephone_number": "435-830-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 COUNTRY CLB STE 102",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749602",
            "telephone_number": "435-830-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONNELL DENTAL CARE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-830-4967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stansbury Park, UT

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.