Individual provider Active NPI

Allison L O'Brien, DMD

  • General Practice Dentistry
  • Lakewood Ranch, FL
National Provider Identifier
1225292840
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18536 Issued in FL
Practice address
8936 77TH Ter E Unit 103
Lakewood Ranch, FL 34202-6419
Phone
(941) 373-3904
Fax
(941) 907-0565
NPI assigned
Jul 13, 2008
Last updated
May 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 18536 FL Primary

Addresses

Primary practice location

8936 77TH Ter E Unit 103
Lakewood Ranch, FL 34202-6419

Mailing address

8936 77TH Ter E Unit 103
Lakewood Ranch, FL 34202-6419
Phone (941) 373-3904

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@lwrdentalcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160629002633 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375844640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18536FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
O'Brien Smiles, PLLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

8936 77th Ter E
Unit 103
Lakewood Ranch, FL 34202
Phone (941) 373-3904

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1225292840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 77TH TER E UNIT 103",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026419",
            "telephone_number": "941-373-3904",
            "fax_number": "941-907-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 77TH TER E UNIT 103",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026419",
            "telephone_number": "941-373-3904",
            "fax_number": "941-907-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ALLISON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@lwrdentalcare.com",
            "affiliation": "N",
            "address_1": "8936 77th Ter E Unit 103",
            "city": "Lakewood Ranch",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342026419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.