Organization Active NPI

James Skylar O'Brien, DDS, LLC

  • Dentist
  • Dekalb, IL
National Provider Identifier
1811730195
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAMES SKYLAR O'BRIEN, DDS, LLC
Practice address
2442 Sycamore Rd
Dekalb, IL 60115-2050
Phone
(815) 748-2666
NPI assigned
Jun 14, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. James Skylar O'Brien, DDSNPI 1447093729
Title
Dentist
Phone
(318) 880-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2442 Sycamore Rd
Dekalb, IL 60115-2050

Mailing address

1716 Ontario Ave Apt 108
Naperville, IL 60563-9256
Phone (318) 880-4111

National Provider Directory

National Provider Directory

Locations

2442 Sycamore Rd
DeKalb, IL 60115
Phone (815) 748-2666

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1811730195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ONTARIO AVE APT 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639256",
            "telephone_number": "318-880-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152050",
            "telephone_number": "815-748-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SKYLAR O'BRIEN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SKYLAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-880-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.