Active NPI
John C. O'Brien, Jr., MD, PA
- Surgical Oncology Physician
- Dallas, TX
National Provider Identifier
1104191667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- D 6835
- Legal business name
- JOHN C. O'BRIEN, JR., MD, PA
- Practice address
- 8223 Forest Hills Blvd
Dallas, TX 75218-4410 - Phone
- (214) 320-9163
- Fax
- (214) 320-9163
- NPI assigned
- Mar 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John C. O'Brien Jr., MD
- Title
- President
- Phone
- (214) 320-9163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | D 6835 | TX | Primary |
Addresses
Primary practice location
8223 Forest Hills Blvd
Dallas, TX 75218-4410
Mailing address
8223 Forest Hills Blvd
Dallas, TX 75218-4410
Phone (214) 320-9163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134298-02 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1004 N Washington Ave
Dallas, TX 75204
Phone (214) 823-1550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356912000000",
"number": "1104191667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8223 FOREST HILLS BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184410",
"telephone_number": "214-320-9163",
"fax_number": "214-320-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8223 FOREST HILLS BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184410",
"telephone_number": "214-320-9163",
"fax_number": "214-320-9163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. O'BRIEN, JR., MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-16",
"last_updated": "2012-12-31",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-320-9163",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "D 6835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134298-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- John Alexander, M.D., P.a.
- John B Barnett, MD, Surgical PA.
- John Bugarin, Jr, DC & Sylvia Blanchard DC PA
- John C Tunnell DDS Ms PLLC
- John C. Milani, M.D. P.a.
- John D. Wallace, DDS, MD, PA
- John E, Capehart, M.D., P.a.
- John E. McGarry, M.D. P.a.
- John G McHenry MD MPH PLLC
- John Gerard Bercier DDS, Ms, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.