Sara Marie Obrien, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS041856 Issued in PA

Practice address

6201 Steubenville Pike Ste 110
MC Kees Rocks, PA 15136-1389

Phone

(412) 722-1991

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 30, 2021 through Nov 30, 2027

Medicare enrollment (NPD)

Not 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.

• Associated Dental Specialists

  • Endodontics
  • MC Kees Rocks, PA
  • NPI 1851729123
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1538645809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD MILL BLVD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153016738",
            "telephone_number": "724-503-4435",
            "fax_number": "724-470-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 STEUBENVILLE PIKE STE 110",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361389",
            "telephone_number": "412-722-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041856",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS041856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Nguyen, DPT
• Christina CHI Nguyen
• No Time Alone Personal and Companion Services
• Scott Norris
• Michael Angelo Notte, MD
• Jonathan Michael Ogurchak, PHARMD
• Ohio Valley Anesthesia Pain Management Inc
• Ohio Valley General Hospital
• Ohio Valley General Hospital
• Ohio Valley General Hospital

• Endodontics in MC Kees Rocks, PA
• Providers in MC Kees Rocks, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.