Brad O'Neill

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8911 Issued in CO

Practice address

18721 Ponderosa Dr
Parker, CO 80134-8824

Phone

(303) 805-4655

NPI assigned

Apr 24, 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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trail View Dental Care, LLC

  • General Practice Dentistry
  • Parker, CO
  • NPI 1033294863
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386863041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18721 PONDEROSA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348824",
            "telephone_number": "303-805-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18721 PONDEROSA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348824",
            "telephone_number": "303-805-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "BRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novus Monitoring, LLC
• Lisa Nowicki, DVM
• Desiree N Nunez, LPC
• Nurturing Transformation Therapeutic Services PLLC
• McKenzie O'Brien
• Hailey Oakes-Hakala
• Krystal Obermeier
• Obstetrix Medical Group of Colorado, P.C.
• Occupational Health Centers of the Southwest P.a.
• Occupational Health Centers of the Southwest PA

• General Practice Dentistry in Parker, CO
• Providers in Parker, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.