Individual provider Active NPI

Christopher Michael Connell, D.D.S.

  • General Practice Dentistry
  • Lyndhurst, OH
National Provider Identifier
1942416888
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30019275 Issued in OH
Practice address
5406 Mayfield Rd
Lyndhurst Commons
Lyndhurst, OH 44124-2912
Phone
(440) 684-4000
Fax
(440) 684-4024
NPI assigned
May 15, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 30019275 OH Primary

Addresses

Primary practice location

5406 Mayfield Rd
Lyndhurst Commons
Lyndhurst, OH 44124-2912

Mailing address

5395 Meadow Wood Blvd
Lyndhurst, OH 44124-3754
Phone (440) 449-9848

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
30019275OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Dental and Associates LLC General Practice PastSince May 4, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1942416888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 MEADOW WOOD BLVD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243754",
            "telephone_number": "440-449-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 MAYFIELD RD",
            "address_2": "LYNDHURST COMMONS",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242912",
            "telephone_number": "440-684-4000",
            "fax_number": "440-684-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30019275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.