Shawn M O'Berry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8510 Issued in CO

Practice address

11890 W 64TH Ave
Arvada, CO 80004-4324

Phone

(303) 422-0094

Fax

(303) 422-2621

NPI assigned

Apr 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285757880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044324",
            "telephone_number": "303-422-0094",
            "fax_number": "303-422-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044324",
            "telephone_number": "303-422-0094",
            "fax_number": "303-422-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BERRY",
        "first_name": "SHAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace A. Noynay, FNP-C
• Andrea Nuanes, LCSW
• David Matthew Nuhfer, MD
• Nurturing Hands of Healing
• Emma Nystrom
• Candy Kathleen O'Connell, M.A.,CCC-A
• Molly O'Connell, LCSW
• Richard Thomas O'Day, DDS
• Mary Beatrice O'Hara, DNP
• Elizabeth Ann O'Hare, PH.D.

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• 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.

Verify at the official NPI Registry.