Organization Active NPI

Kaitlyn P. O'Brien D.D.S.

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1417330614
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64662 Issued in CA
Legal business name
KAITLYN P. O'BRIEN D.D.S.
Practice address
7730 N Fresno St
Suite 103
Fresno, CA 93720-2408
Phone
(559) 438-5111
Fax
(559) 438-5120
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Kaitlyn Patricia O'Brien, D.D.S.NPI 1457711541
Title
Dentist
Phone
(559) 438-5111

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 64662 CA Primary

Addresses

Primary practice location

7730 N Fresno St
Suite 103
Fresno, CA 93720-2408

Mailing address

7730 N Fresno St
Suite 103
Fresno, CA 93720-2408
Phone (559) 438-5111

National Provider Directory

National Provider Directory

Locations

7730 N Fresno St
Ste 103
Fresno, CA 93720
Phone (559) 438-5111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1417330614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 N FRESNO ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202408",
            "telephone_number": "559-438-5111",
            "fax_number": "559-438-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 N FRESNO ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202408",
            "telephone_number": "559-438-5111",
            "fax_number": "559-438-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLYN P. O'BRIEN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-438-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.