DR. JAY CHARLES MCCONNELL (NPI# 1356577704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356577704 |
| Entity Type | Individual |
| Full Name | DR. JAY CHARLES MCCONNELL |
| Credential | D.D.S. |
| Practice Address |
3901 Normal Blvd Ste. 205 Lincoln NE 68506-5261 |
| Practice Telephone | 4024863630 |
| Mailing Telephone | 4024863630 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6367 | NE | Dental Providers |
| Street Address |
3901 NORMAL BLVD STE. 205 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898176 | Firstcare Home Health of Eastern Nebraska, Inc | Home Health | 3901 Normal Blvd, Ste 102, Lincoln, NE 68506-5200 | 2005-06-01 |
| 1912432204 | Sara Birkel | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2017-04-25 |
| 1497105340 | Mitchell Mansur | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2016-06-21 |
| 1861863946 | Amber Smith | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2015-10-14 |
| 1578971990 | Molly Holstein | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2014-07-29 |
| 1073939195 | Dianne Rice | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2014-03-13 |
| 1275956138 | Lisa Urwiller | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2014-01-29 |
| 1730501933 | Vicki Hanson-crawford | Case Manager/Care Coordinator | 3901 Normal Blvd, Ste. 201, Lincoln, NE 68506-5261 | 2014-01-08 |
| 1477859668 | Gregory S Bernt | Case Manager/Care Coordinator | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5261 | 2011-02-04 |
| 1659434009 | Karen Lynn Cosson | Counselor | 3901 Normal Blvd, Suite 201, Lincoln, NE 68506-5250 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235470386 | Lincoln Endodontic Specialists, P.C. | Dentist | 1919 S 40th St Ste 214, Lincoln, NE 68506-5247 | 2013-03-13 |
| 1578711222 | Kenneth J. Donlan | Dentist | 3100 O St Ste 4, Lincoln, NE 68510-1532 | 2008-09-08 |
| 1538245519 | Hany M Makkawy | Dentist | 40th & Holdrege Streets, College of Dentistry, Lincoln, NE 68583-0740 | 2006-10-31 |
| 1811966203 | Chin-lo Hahn | Dentist | 4000 East Campus Loop South, Lincoln, NE 68583 | 2006-03-16 |
| 1437150935 | Jamie Douglas Ring | Dentist | 5733 S 34th St Ste 100, Lincoln, NE 68516 | 2005-08-09 |
| 1225520703 | Ring Endodontics of Lincoln LLC | Dentist | 5733 S 34th St Ste 100, Lincoln, NE 68516-6633 | 2018-05-31 |
| 1477830461 | Merlyn W Vogt | Dentist | 40th and Holdrege, Lincoln, NE 68583-0740 | 2011-11-04 |
| 1770876633 | Jeffery Wyatt Keippel | Dentist | 40th & Holdrege St, Lincoln, NE 68503 | 2011-05-25 |
| 1417267063 | Fahd Alsalleeh | Dentist | 40th & Holdrege St, College of Dentistry, University Dental Associates, Lincoln, NE 68583 | 2010-10-18 |
| 1972688430 | Tom Good Gound | Dentist | 40th & Holdrege Street, Lincoln, NE 68583-0740 | 2006-10-25 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.