Active NPI
Daniel Gerald Obrien, DDS
- Dentist
- Beavercreek, OH
National Provider Identifier
1255465985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30020555
- Practice address
- 3540 Dayton Xenia Road
Beavercreek, OH 45424 - Phone
- (937) 426-3232
- Fax
- (937) 426-4964
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30020555 | OH | Primary |
Addresses
Primary practice location
3540 Dayton Xenia Road
Beavercreek, OH 45424
Mailing address
3540 Dayton Xenia Road
Beavercreek, OH 45432
Phone (937) 426-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30020555 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255465985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 DAYTON XENIA ROAD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "45432",
"telephone_number": "937-426-3232",
"fax_number": "937-426-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 DAYTON XENIA ROAD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "45424",
"telephone_number": "937-426-3232",
"fax_number": "937-426-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "DANIEL",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30020555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.