Kevin T O'Brien

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6390 Issued in CT

Practice address

2330 Whitney Ave
Hamden, CT 06518-3513

Phone

(203) 248-2429

Fax

(203) 248-3086

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

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.

• Robert N. Reynolds,D.D.S.,P.C.

  • General Practice Dentistry
  • Hamden, CT
  • NPI 1346389392
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184756561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183513",
            "telephone_number": "203-248-2429",
            "fax_number": "203-248-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183513",
            "telephone_number": "203-248-2429",
            "fax_number": "203-248-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutmeg Wellness LLC
• Ashley Marie Nuzzo, LPC
• Chizoma Jacinta Nwaneri, APRN
• Ifeoma Justina Nwokoye, FNP
• Irene M. O'Brien, LCSW
• Monique O'Connell
• Sherri L O'Connor, PA-C
• Caitlin O'Dea, ATR, LPC
• Deneen Michele O'Mara
• Megan O'Neill

• General Practice Dentistry in Hamden, CT
• Providers in Hamden, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.