Peter D. O'Shea, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008293 Issued in CT

Practice address

111 Reef Rd
Fairfield, CT 06824-5923

Phone

(203) 259-8602

NPI assigned

Jan 22, 2007

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

Other identifiers 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1366596298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 REEF RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245923",
            "telephone_number": "203-259-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 REEF RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245923",
            "telephone_number": "203-259-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "PETER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO.",
            "identifier": "06-1619657",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah O'Brien, MS CCC-SLP
• Joann O'Connell
• Tara L O'Connor
• Michael O'Neill, M.D.
• Noelle O'Shea, APRN
• Jeffrey L Oberman, MD
• Obstetrics and Gynecology of Fairfield County, LLC
• Millicent Hamuah Obubah, NP
• Mary Helen Oconnor, RN
• Ocularprime

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.