O'Brien Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

O'BRIEN DENTAL CARE

Practice address

250 Fuller St S
Suite 250
Shakopee, MN 55379

Phone

(952) 445-6657

Fax

(952) 445-0674

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Jodeen J O'Brien, DDS

Title

Owner/Dentist

Phone

(952) 445-6657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

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

• Holly Marie McMahon, DDS

  • Dentist
  • Shakopee, MN
  • NPI 1205129202
  Medicare reassignment NPD
• Charles Bernard Wenner, DDS

  • General Practice Dentistry
  • Shakopee, MN
  • NPI 1437721982
  Medicare reassignment NPD
• Miranda Joy Mulligan, DDS

  • Dentist
  • Shakopee, MN
  • NPI 1073961157
  Medicare reassignment
• Jody J O'Brien, D.D.S.

  • Dentist
  • Shakopee, MN
  • NPI 1538151725
  Medicare reassignment
• Kevin John Bril, D.D.S.

  • General Practice Dentistry
  • Eden Prairie, MN
  • NPI 1447440847
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1710086459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FULLER ST S",
            "address_2": "SUITE 250",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "55379",
            "telephone_number": "952-445-6657",
            "fax_number": "952-445-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULLER ST S",
            "address_2": "SUITE 250",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "55379",
            "telephone_number": "952-445-6657",
            "fax_number": "952-445-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIEN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JODEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "952-445-6657",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Regional
• Northway Academy, Inc
• Nuline Solutions
• Phoebe Nyabando, NP
• Nancy M O Connor, MD
• James J O'Brien, D.D.S.
• Jody J O'Brien, D.D.S.
• Amanda Marie O'Connor, MA
• Ann M. O'Donnell, M.D.
• Juliana Y O'Laughlin, M.D.

• General Practice Dentistry in Shakopee, MN
• Providers in Shakopee, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.