David S. O'Hara, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15357 Issued in TX

Practice address

4415 66TH St
Suite 110
Lubbock, TX 79414-4809

Phone

(806) 795-4443

Fax

(806) 795-1563

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972630192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 66TH ST",
            "address_2": "SUITE 110",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144809",
            "telephone_number": "806-795-4443",
            "fax_number": "806-795-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 66TH ST",
            "address_2": "SUITE 110",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144809",
            "telephone_number": "806-795-4443",
            "fax_number": "806-795-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Marshall O'Brien, MD
• John O'Connor Jr.
• Renee O'Dell, PTA
• Fiona O'Donnell
• Kaitlin O'Hagan, DO
• Keisha O'Leary, APRN, FNP-C
• Kerry Beth O'Leary, MD, MPH
• Karessa O'Neal, CRNA
• Bryan T O'Neall, PA
• Michael S O'Neill, M.D.

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.