Active NPI
Dan Patrick O'Brien, DDS
- Public Health Dentistry
- Arnold, MO
National Provider Identifier
1598826109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 010402
- Practice address
- Jefferson County Health Department
1818 Lonedell Road
Arnold, MO 63010 - Phone
- (636) 282-1010
- Fax
- (636) 282-2525
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 010402 | MO | Primary |
Addresses
Primary practice location
Jefferson County Health Department
1818 Lonedell Road
Arnold, MO 63010
Mailing address
Jefferson County Health Department
1818 Lonedell Road
Arnold, MO 63010
Phone (636) 282-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010402 | Other | MO | STATE OF MISSOURI LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010402 | MO | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Health Departmet | Past | Accepting new patients | |
| Jefferson County Health Department | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Hillsboro, MO
- NPI 1235118324
-
- Public Health or Welfare Agency
- Arnold, MO
- NPI 1093856163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598826109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JEFFERSON COUNTY HEALTH DEPARTMENT",
"address_2": "1818 LONEDELL ROAD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "63010",
"telephone_number": "636-282-1010",
"fax_number": "636-282-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JEFFERSON COUNTY HEALTH DEPARTMENT",
"address_2": "1818 LONEDELL ROAD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "63010",
"telephone_number": "636-282-1010",
"fax_number": "636-282-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "DAN",
"middle_name": "PATRICK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MO",
"license": "010402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MISSOURI LICENSE",
"identifier": "010402",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.