Active NPI
O'Brien and West DMD PLLC
- Dentist
- Raleigh, NC
National Provider Identifier
1497166912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8881
- Legal business name
- O'BRIEN AND WEST DMD PLLC
- Practice address
- 2945 New Bern Ave
Raleigh, NC 27610-1213 - Phone
- (919) 783-5677
- NPI assigned
- May 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Sean O'Brien
- Title
- Manager
- Phone
- (407) 383-2008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8881 | NC | Primary |
Addresses
Primary practice location
2945 New Bern Ave
Raleigh, NC 27610-1213
Mailing address
204 Meares Bluff LN
Holly Springs, NC 27540-4418
Phone (407) 383-2008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568422681 | Medicaid | NC |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Durham, NC
- NPI 1265829030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1497166912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MEARES BLUFF LN",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404418",
"telephone_number": "407-383-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101213",
"telephone_number": "919-783-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'BRIEN AND WEST DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "SEAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-383-2008"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "8881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568422681",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.