Individual provider Active NPI

Cynthia Lou McConnell, DDS

  • General Practice Dentistry
  • Mooresville, NC
National Provider Identifier
1881760650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6842 Issued in NC
Practice address
118 Kendra Dr
Mooresville, NC 28117-5816
Phone
(704) 660-3540
Fax
(704) 660-3354
NPI assigned
Nov 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6842 NC Primary

Addresses

Primary practice location

118 Kendra Dr
Mooresville, NC 28117-5816

Mailing address

136 Sunrise Cir
Mooresville, NC 28117-6675
Phone (704) 799-9854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6842NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Surry & Surry County Welfare Department Past Accepting new patients
Alyssa and Matthew Drake DDS PLLC PastSince Aug 11, 2024 Accepting new patients
McConnell and McConnell DDS PA General Practice Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881760650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SUNRISE CIR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176675",
            "telephone_number": "704-799-9854",
            "fax_number": "704-660-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 KENDRA DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175816",
            "telephone_number": "704-660-3540",
            "fax_number": "704-660-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "CYNTHIA",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.