DR. KELLY L OCONNOR DDS
NPI 1588833917
Dentist in Bourbonnais, IL

Q: What is Kelly Oconnor's NPI number?

The NPI number for Kelly Oconnor is 1588833917. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Q: What is Kelly Oconnor'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 Kelly Oconnor was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 29, 2008PECOS Enrolled

801 MAIN ST, BOURBONNAIS, IL 60914(815) 932-3516(815) 932-2992 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly L Oconnor Dds NPPES

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

DR. KELLY L OCONNOR DDS (NPI 1588833917) is an individual dentist in Bourbonnais, Illinois, licensed in Illinois (019020584) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588833917

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KELLY L OCONNORCredential: DDS

Location Address801 MAIN STBourbonnais, IL 60914

Mailing Address801 Main StBourbonnais, IL 60914 · (815) 932-3516 · Fax (815) 932-2992

Phone(815) 932-3516

Fax(815) 932-2992

Sole ProprietorNo

Enumeration DateFebruary 29, 2008

Last NPPES UpdateOctober 22, 2018

✔ NPI 1588833917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019020584

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.

801 MAIN ST, Bourbonnais, IL 60914

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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. Kelly L Oconnor 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 60914 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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 Kelly Oconnor's NPI number?

The NPI number for Kelly Oconnor is 1588833917. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Where is Kelly Oconnor located?

Kelly Oconnor practices at 801 Main St, Bourbonnais, IL 60914. The listed phone number is (815) 932-3516.

What is Kelly Oconnor's specialty?

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

Is Kelly Oconnor enrolled in Medicare?

Yes. Kelly Oconnor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Oconnor was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.