Organization Active NPI

Robert O'Brien DDS Prof LLC

  • General Practice Dentistry
  • Longmont, CO
National Provider Identifier
1306385661
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN00007480 Issued in CO
Legal business name
ROBERT O'BRIEN DDS PROF LLC
Practice address
1446 Hover St
Suite 100
Longmont, CO 80501-2485
Phone
(303) 684-9700
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Lori Bowman-Falce
Title
Consultant
Phone
(970) 231-1294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN00007480 CO Primary

Addresses

Primary practice location

1446 Hover St
Suite 100
Longmont, CO 80501-2485

Mailing address

1446 Hover St
Suite 100
Longmont, CO 80501-2485
Phone (303) 684-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1306385661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 HOVER ST",
            "address_2": "SUITE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012485",
            "telephone_number": "303-684-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HOVER ST",
            "address_2": "SUITE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012485",
            "telephone_number": "303-684-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT O'BRIEN DDS PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BOWMAN-FALCE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "970-231-1294"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00007480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.