Active NPI
Pauline Obrien
- Dental Hygienist
- Templeton, MA
National Provider Identifier
1720484553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 11447
- Practice address
- 100 Dudley Rd
Templeton, MA 01468-1233 - Phone
- (978) 939-2536
- NPI assigned
- Nov 5, 2014
- Last updated
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11447 | MA | Primary |
Addresses
Primary practice location
100 Dudley Rd
Templeton, MA 01468-1233
Mailing address
100 Dudley Rd
Templeton, MA 01468-1233
Phone (978) 939-2536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11447 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1720484553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DUDLEY RD",
"city": "TEMPLETON",
"state": "MA",
"postal_code": "014681233",
"telephone_number": "978-939-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DUDLEY RD",
"city": "TEMPLETON",
"state": "MA",
"postal_code": "014681233",
"telephone_number": "978-939-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "11447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Templeton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.