Active NPI
Edward Martin Oconnor
- Dental Hygienist
- Rochester, NY
National Provider Identifier
1942313325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 018874
- Practice address
- 82 Holland St
Rochester, NY 14605-2131 - Phone
- (585) 423-2800
- Fax
- (585) 423-2868
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 018874 | NY | Primary |
Addresses
Primary practice location
82 Holland St
Rochester, NY 14605-2131
Mailing address
82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018874 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942313325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 HOLLAND ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052131",
"telephone_number": "585-423-2800",
"fax_number": "585-423-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 HOLLAND ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052131",
"telephone_number": "585-423-2800",
"fax_number": "585-423-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "EDWARD",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "018874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018874",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.