Jeffrey O'Brien, D.D.S., S.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEFFREY O'BRIEN, D.D.S., S.C.

Practice address

W247S3114 Prairie Ave
Waukesha, WI 53189-7321

Phone

(262) 544-4404

Fax

(262) 544-4399

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M O'Brien, D.D.S.

Title

Dentist

Phone

(262) 544-4404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1245578665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W247S3114 PRAIRIE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897321",
            "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": "W247S3114 PRAIRIE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531897321",
            "telephone_number": "262-544-4404",
            "fax_number": "262-544-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY O'BRIEN, D.D.S., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "262-544-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rheanna Jaske, LPC-IT, NCC
• Michael Jaworski, LPC, CADC
• Chanita Jedlicka
• Angela Rita Jeffers, PTA
• Jeffog Medical Wi SC
• Jeffrey W Ausen DDS SC
• Gwendolyn K Jeffro, LPN
• Brevin Jay Jegerlehner, DPT
• Alexandra Jelacic, APNP
• Alyssa Jelinek

• Dental Clinic/Center in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.