Individual provider Active NPI

Daniel James Oshea, DMD

  • General Practice Dentistry
  • Woodstock, GA
National Provider Identifier
1124697073
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122301 Issued in GA
Practice address
8950 Main St Ste 120
Woodstock, GA 30188-4908
Phone
(770) 926-4447
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122301 GA Primary

Addresses

Primary practice location

8950 Main St Ste 120
Woodstock, GA 30188-4908

Mailing address

50 Highcrest Dr
Acworth, GA 30101-5987
Phone (404) 918-0063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN122301GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstock Smiles, PC General Practice CurrentSince Apr 9, 2023 Accepting new patients
Daniel O'Shea DMD, LLC Current Accepting new patients
Nexdental Associates Woodstock LLC General Practice PastSince Jun 27, 2021 Accepting new patients

Locations

8950 Main St
Ste 120
Woodstock, GA 30188
Phone (770) 926-4447

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1124697073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HIGHCREST DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015987",
            "telephone_number": "404-918-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 MAIN ST STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884908",
            "telephone_number": "770-926-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHEA",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.