Jeffrey M Obrien, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5057 Issued in WI

Practice address

W247 S3114 Prairie Avenue
Waukesha, WI 53189

Phone

(262) 544-4404

Fax

(262) 544-4399

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

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

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.

• Jeffrey O'Brien, D.D.S., S.C.

  • Dental Clinic/Center
  • Waukesha, WI
  • NPI 1245578665
  Authorized official Same address or phone
• Sunset Dental Care, S.C.

  • Dental Clinic/Center
  • Waukesha, WI
  • NPI 1841538139
  Authorized official Same address or phone
• Sunst Dental Care SC

  • Dentist
  • Waukesha, WI
  • NPI 1780804716
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225258254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W247 S3114 PRAIRIE AVENUE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-544-4404",
            "fax_number": "262-544-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W247 S3114 PRAIRIE AVENUE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-544-4404",
            "fax_number": "262-544-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5057",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak Medical LLC
• Oak Medical SC
• Oak Medical Wound Services SC (Oak Medical Wound Services)
• Oaw ASC, LLC (The Orthopedic Surgery Center)
• Dennis M Obrien, DDS
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Occupational Therapy Family Services, LLC
• Claudia J Ochalek, LPC
• Jennifer Sue Ocker, PTA
• Amy Odgers, RDH

• Dentist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dentist in Wisconsin

• 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.