NPIMap

Organization Active NPI

Kevin J. O'Neill, D.D.S., M.S.D., Inc.

  • Endodontics
  • Roseville, CA
National Provider Identifier
1194980284
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
25963 Issued in CA
Legal business name
KEVIN J. O'NEILL, D.D.S., M.S.D., INC.
Practice address
10 Sierra Gate PLZ
Suite #190
Roseville, CA 95678-6645
Phone
(916) 786-3303
Fax
(916) 786-3309
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Kevin James O'Neill, D.D.S., M.S.D.NPI 1700903762
Title
Doctor/ Owner
Phone
(916) 786-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 25963 CA Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 39553 CA

Addresses

Primary practice location

10 Sierra Gate PLZ
Suite #190
Roseville, CA 95678-6645

Mailing address

10 Sierra Gate PLZ
Suite #190
Roseville, CA 95678-6645
Phone (916) 786-3303

National Provider Directory

National Provider Directory

Locations

10 Sierra Gate Plz
Ste 190
Roseville, CA 95678
Phone (916) 786-3303

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1194980284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SIERRA GATE PLZ",
            "address_2": "SUITE #190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786645",
            "telephone_number": "916-786-3303",
            "fax_number": "916-786-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SIERRA GATE PLZ",
            "address_2": "SUITE #190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786645",
            "telephone_number": "916-786-3303",
            "fax_number": "916-786-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. O'NEILL, D.D.S., M.S.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "916-786-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "25963",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "39553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.