Charles Michael O'Brien, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3882 Issued in AL

Practice address

836 North Dean Rd.
Auburn, AL 36830-2858

Phone

(334) 821-8800

Fax

(334) 821-8838

NPI assigned

Feb 21, 2007

Last updated

May 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Auburn Dental Partnerships, LLC

  • General Practice Dentistry
  • Auburn, AL
  • NPI 1942966643
  NPD (past)
• Joseph Kyle Donaghey,DMD,LLC

  dba O'Brien Dental

  • Dentist
  • Auburn, AL
  • NPI 1336489103
  NPD (past)
• Miller and Miller

  dba Rivertown Dental Care

  • General Practice Dentistry
  • Columbus, GA
  • NPI 1346257078
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1104961648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUCKHEAD LN",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368047645",
            "telephone_number": "334-821-8800",
            "fax_number": "334-821-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 NORTH DEAN RD.",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302858",
            "telephone_number": "334-821-8800",
            "fax_number": "334-821-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00523525",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-90422",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Auburn Dentistry LLC
• North Dean Dental, P.C.
• Lauren Norton, ATC
• Ashley Norwood-Strickland, PHD
• Nutramira LLC
• Oak Park Pharmacy
• Oaks Family Healthcare, LLC (The Oaks Family Healthcare, LLC)
• Oasis Therapy and Wellness LLC
• Omoyemwen Abigail Obakpolor
• Kate Walter Oelschlager, LPC

• General Practice Dentistry in Auburn, AL
• Providers in Auburn, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.