KATHLEEN M. O'CONNOR DDS
NPI 1265472948
Dentist in Tuba City, AZ

Q: What is Kathleen O'connor's NPI number?

The NPI number for Kathleen O'connor is 1265472948. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Kathleen O'connor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen O'connor was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2006PECOS Enrolled

167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kathleen M. O'connor Dds NPPES

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

KATHLEEN M. O'CONNOR DDS (NPI 1265472948) is an individual dentist in Tuba City, Arizona, licensed in Illinois (019-023010) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265472948

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATHLEEN M. O'CONNORCredential: DDS

Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600, 167 North Main StreetTuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677

Phone(928) 283-2501

Fax(928) 283-2677

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265472948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019-023010

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

167 NORTH MAIN STREET, Tuba City, AZ 86045

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Other Names 1

Other Name (5)Mrs. Kathleen M O'connor-moran Dds

Other Identifiers 3

Medicaid422767AZ

Medicare UPINV09975

Medicare ID-Type Unspecified8EC993

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M. O'connor Dds 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 86045 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.