Mark Edward McConnell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7009 Issued in NC

Practice address

118 Kendra Dr
Mooresville, NC 28117-5816

Phone

(704) 660-3540

Fax

(704) 660-3354

NPI assigned

Nov 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in NC

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.

• McConnell and McConnell DDS PA

  dba McConnell Family Dentistry

  • General Practice Dentistry
  • Mooresville, NC
  • NPI 1316013188
  NPD (past) Authorized official
• Alyssa and Matthew Drake DDS PLLC

  dba Drake Cosmetic and Family Dentistry

  • Dental Clinic/Center
  • Mooresville, NC
  • NPI 1386474245
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922176098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SUNRISE CIRCLE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "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": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry McCarty, CRNA
• Lauran McClelland, MSW
• Christopher McClure
• McConnell and McConnell DDS PA (McConnell Family Dentistry)
• Cynthia Lou McConnell, DDS
• Tara Linette McCormick, OTD, OTRL
• Greg Monte McCourt, D.D.S.
• Danielle Gain McCoy, DPT
• Michelle Elizabeth McCracken-Brown, PA-C
• Pamela Michele McCraw, MA , LCMHC

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• 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.