Organization Active NPI

Darin G O'Bryan DDS LLC

  • General Practice Dentistry
  • North Bend, OR
National Provider Identifier
1710262126
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8353 Issued in OR
Legal business name
DARIN G O'BRYAN DDS LLC
Practice address
1885 Waite St
North Bend, OR 97459-1210
Phone
(541) 756-1117
Fax
(541) 756-3811
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Darin O'Bryan
Title
Owner
Phone
(541) 756-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8353 OR Primary

Addresses

Primary practice location

1885 Waite St
North Bend, OR 97459-1210

Mailing address

1885 Waite St
North Bend, OR 97459-1210
Phone (541) 756-1117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1710262126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 WAITE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591210",
            "telephone_number": "541-756-1117",
            "fax_number": "541-756-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 WAITE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591210",
            "telephone_number": "541-756-1117",
            "fax_number": "541-756-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIN G O'BRYAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-756-1117",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.