Individual provider Active NPI

Daniel J O'Brien, D.D.S.

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1154300804
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16601 Issued in MI
Practice address
3796 Rochester Rd
Troy, MI 48083-5216
Phone
(248) 526-0120
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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 16601 MI Primary

Addresses

Primary practice location

3796 Rochester Rd
Troy, MI 48083-5216

Mailing address

3796 Rochester Rd
Troy, MI 48083-5216
Phone (248) 526-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160330000219 MI Order and Referring Only - DentistPractitioner - Dentist 1951608413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16601MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J O'Brien DDS CurrentSince Jun 21, 2022 Accepting new patients
Daniel J. O'Brien DDS, PC Past Accepting new patients

Locations

3796 Rochester Rd
Troy, MI 48083
Phone (248) 526-0120

Organizations & group practices 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1154300804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3796 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835216",
            "telephone_number": "248-526-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3796 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835216",
            "telephone_number": "248-526-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.