Individual provider Active NPI

James Skylar O'Brien, DDS

  • Dentist
  • Dekalb, IL
National Provider Identifier
1447093729
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.035095 Issued in IL
Practice address
2442 Sycamore Rd
Dekalb, IL 60115-2050
Phone
(815) 748-2666
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.035095 IL Primary

Addresses

Primary practice location

2442 Sycamore Rd
Dekalb, IL 60115-2050

Mailing address

1716 Ontario Ave Apt 108
Naperville, IL 60563-9256
Phone (318) 880-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.035095ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dekamore Dental P.C. CurrentSince Jun 16, 2024 Accepting new patients
James Skylar O'Brien, DDS, LLC Dentist CurrentSince Jun 16, 2024 Accepting new patients

Locations

2442 Sycamore Rd
DeKalb, IL 60115
Phone (815) 748-2666

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1447093729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ONTARIO AVE APT 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639256",
            "telephone_number": "318-880-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152050",
            "telephone_number": "815-748-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JAMES",
        "middle_name": "SKYLAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.