Organization Active NPI

O'Brien Conroy Dental Group, LTD.

  • General Practice Dentistry
  • Dublin, OH
National Provider Identifier
1639337058
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
O'BRIEN CONROY DENTAL GROUP, LTD.
Practice address
6905 Hospital Dr
Suite 120
Dublin, OH 43016-9600
Phone
(614) 717-3500
Fax
(614) 717-0933
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Thomas O'Brien Jr., DDS
Title
Managing Partner
Phone
(614) 717-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6905 Hospital Dr
Suite 120
Dublin, OH 43016-9600

Mailing address

6905 Hospital Dr
Suite 120
Dublin, OH 43016-9600
Phone (614) 717-3500

Other identifiers 2

IdentifierTypeStateIssuer
518330OtherOHUNITED CONCORDIA
480694OtherOHANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1639337058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-717-3500",
            "fax_number": "614-717-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-717-3500",
            "fax_number": "614-717-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIEN CONROY DENTAL GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "614-717-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "518330",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "480694",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.