Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1023454790 Deactivated / Inactive NPI Female Practitioner

Dr. Kathleen Patricia O'connor , DDS

Dentist • Rockledge, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kathleen O'connor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2013
NPI Deactivation Date March 12, 2026
Total Practice Duration ~13 Years of Practice (2013 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen O'Connor, DDS was a registered Dentist practicing in Rockledge, FL. Throughout an active medical career spanning 13 years, Dr. O'Connor provided care at the practice location at 610 BARNES BLVD until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

610 Barnes Blvd

Rockledge, FL 329555210

Telephone 3216397400
Fax 3216390307
Associated Practice Facility / Clinic
🏢 Ekos Rockledge Pllc Facility NPI 1588432074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Rockledge, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN0013964

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active May 21, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 21, 2013

Registered at 610 BARNES BLVD, ROCKLEDGE, FL 329555210 (Tel: 3216397400)

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Updated Business Mailing Address May 21, 2013

Registered at 610 BARNES BLVD, ROCKLEDGE, FL 329555210 (Tel: 3216397400)

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Provider Name / Credentials Updated May 21, 2013

Recorded as KATHLEEN O'CONNOR, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2013

Dentist (License #DN0013964 in FL)

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Initial NPI Registration & Enumeration May 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023454790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2013
Last Update: May 21, 2013
Deactivation Date: March 12, 2026

Mailing Address

610 Barnes Blvd

Rockledge, FL 329555210

Phone: 3216397400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.