Active NPI
O'Brien Conroy Dental Group, LTD.
- General Practice Dentistry
- Dublin, OH
National Provider Identifier
1639337058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518330 | Other | OH | UNITED CONCORDIA |
| 480694 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryNPI 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.