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DR. THOMASON MICHAEL MCCONNELL D.D.S
NPI 1124049119
Dentist - General Practice in Tahlequah, OK

Active since July 22, 2006PECOS Enrolled
1200 W 4TH ST, SUITE A, TAHLEQUAH, OK 74464(918) 458-9100(918) 458-9200 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomason Michael Mcconnell D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMASON MICHAEL MCCONNELL D.D.S (NPI 1124049119) is an individual general practice provider in Tahlequah, Oklahoma, licensed in Oklahoma (5267) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124049119
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMASON MICHAEL MCCONNELLCredential: D.D.S
Location Address1200 W 4TH ST, SUITE ATahlequah, OK 74464-5013
Mailing Address1200 W 4th St, Suite ATahlequah, OK 74464-5013 · (918) 458-9100 · Fax (918) 458-9200
Phone(918) 458-9100
Fax(918) 458-9200
Sole ProprietorYes
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1124049119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 5267
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1200 W 4TH ST, Tahlequah, OK 74464
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Other Identifiers 2

Other214781VA · Bc/bs Of Virginia
Other814714PA · United Concordia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomason Michael Mcconnell D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANAH ALI DMD
Dentist
1200 W 4TH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 458-9100
KATHERINE DEATHERAGE
Nurse's Aide
1200 W 4TH ST, STE. D
TAHLEQUAH, OK 74464
Cherokee County (918) 485-0113
MISTY GOWER
Nurse's Aide
1200 W 4TH ST, STE. D
TAHLEQUAH, OK 74464
Cherokee County (918) 458-0113
DR. MISTY LYNN BOYD PH.D.
Psychologist (Clinical)
1200 W 4TH ST, SUITE D
TAHLEQUAH, OK 74464
Cherokee County (918) 458-6285
DR. THOMAS OAS DDS
Dentist (General Practice)
1200 W 4TH ST
TAHLEQUAH, OK 74464
Cherokee County (918) 458-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomason Mcconnell's NPI number?

The NPI number for Thomason Mcconnell is 1124049119. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Thomason Mcconnell located?

Thomason Mcconnell practices at 1200 W 4th St Suite A, Tahlequah, OK 74464. The listed phone number is (918) 458-9100.

What is Thomason Mcconnell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomason Mcconnell enrolled in Medicare?

Yes. Thomason Mcconnell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomason Mcconnell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.