Organization Active NPI

Joseph E O'Brien DMD PC

  • General Practice Dentistry
  • Gardner, MA
National Provider Identifier
1689814410
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21660 Issued in MA
Legal business name
JOSEPH E O'BRIEN DMD PC
Practice address
394 Elm St
Gardner, MA 01440-3944
Phone
(978) 632-7870
Fax
(978) 630-2601
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Joseph E O'Brien, DMD
Title
President
Phone
(978) 632-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21660 MA Primary

Addresses

Primary practice location

394 Elm St
Gardner, MA 01440-3944

Mailing address

394 Elm St
Gardner, MA 01440-3944
Phone (978) 632-7870

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1689814410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403944",
            "telephone_number": "978-632-7870",
            "fax_number": "978-630-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403944",
            "telephone_number": "978-632-7870",
            "fax_number": "978-630-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E O'BRIEN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-632-7870",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.