Carol a. O'Brien, DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008789 Issued in WA

Legal business name

CAROL A. O'BRIEN, DDS, PS

Practice address

7424 Bridgeport Way W Ste 201
Lakewood, WA 98499-8134

Phone

(253) 582-2408

Fax

(253) 584-7024

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carol A. O'Brien, DDS

Title

Owner

Phone

(253) 582-2408

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Sound Family Dentistry

  • Dental Clinic/Center
  • Olympia, WA
  • NPI 1801373683
  NPPES parent name

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861602294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W STE 201",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998134",
            "telephone_number": "253-582-2408",
            "fax_number": "253-584-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W STE 201",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998134",
            "telephone_number": "253-582-2408",
            "fax_number": "253-584-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A. O'BRIEN, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-582-2408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amor G Carethers, RN
• Anna Cargile
• Lynda Lee Carlisle, MD
• Benjamin Daniel Carlman
• David John Carlson, DO
• Carol Woods, PH.D., PLLC
• Carousel Counseling, PLLC
• Conrad Carr
• Tyler J Carr
• Rowan Carrick

• General Practice Dentistry in Lakewood, WA
• Providers in Lakewood, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.