Patrick S. O'Brien, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16409 Issued in FL

Practice address

5511 Raeford Rd
Suite 203
Fayetteville, NC 28304-2057

Phone

(910) 485-0023

Fax

(407) 788-3572

NPI assigned

Mar 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1568422681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-485-0023",
            "fax_number": "407-788-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-485-0023",
            "fax_number": "407-788-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "PATRICK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076996700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber E. Nyce Barr, RN
• Eva Nygaard, LPN
• Amanda Nystrom, LAT, ATC
• Cristina Giselle Nystrom, PHARMD
• Pius N Nyutu, PH.D., HSP-P
• Sheila May Agustin O'Callaghan, NP
• Leandi O'Connell, DPT
• Rose Mary a O'Conner
• Chasity Nicole O'Dea, LMBT
• Katherine Radloff O'Donohue, PT, DPT

• General Practice Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.