Organization Active NPI

Daniel O'Brien, DMD, LLC

  • Dental Clinic/Center
  • Edison, NJ
National Provider Identifier
1376628842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI017398 Issued in NJ
Legal business name
DANIEL O'BRIEN, DMD, LLC
Practice address
1163 Inman Ave
Suite 103
Edison, NJ 08820-4511
Phone
(908) 756-3388
Fax
(908) 757-4466
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Patrick O'Brien, D.M.D.NPI 1538244025
Title
Owner
Phone
(908) 756-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DI017398 NJ Primary

Addresses

Primary practice location

1163 Inman Ave
Suite 103
Edison, NJ 08820-4511

Mailing address

1163 Inman Ave
Suite 103
Edison, NJ 08820-4511
Phone (908) 756-3388

National Provider Directory

National Provider Directory

Locations

1163 Inman Ave
Ste 103
Edison, NJ 08820
Phone (908) 756-3388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376628842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 INMAN AVE",
            "address_2": "SUITE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204511",
            "telephone_number": "908-756-3388",
            "fax_number": "908-757-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 INMAN AVE",
            "address_2": "SUITE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204511",
            "telephone_number": "908-756-3388",
            "fax_number": "908-757-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL O'BRIEN, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-756-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI017398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.