Organization Active NPI

Gerald W. McConnell DDS Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temple, TX
National Provider Identifier
1780804468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8204 Issued in TX
Legal business name
GERALD W. MCCONNELL DDS MS
Practice address
3028 S 31St St
Temple, TX 76502-1802
Phone
(254) 899-2500
Fax
(254) 899-2999
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gerald Wayne McConnell, D.D.S., M.S.NPI 1285745844
Title
Owner
Phone
(254) 899-2500

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8204 TX Primary

Addresses

Primary practice location

3028 S 31St St
Temple, TX 76502-1802

Mailing address

3028 S 31St St
Temple, TX 76502-1802
Phone (254) 899-2500

Other names 1

  • Central Texas Orthodontics Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780804468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021802",
            "telephone_number": "254-899-2500",
            "fax_number": "254-899-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021802",
            "telephone_number": "254-899-2500",
            "fax_number": "254-899-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD W. MCCONNELL DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-899-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.