DR. RICHARD LANE O'BRIEN (NPI# 1366414575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366414575 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LANE O'BRIEN |
| Credential | D.D.S. |
| Practice Address |
4607 Hampton Ave Saint Louis MO 63109-2749 |
| Practice Telephone | 3144813369 |
| Practice Fax Number | 3144815386 |
| Mailing Telephone | 3144813369 |
| Mailing Fax Number | 3144815386 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
011055 | MO | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
011055 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598005266 | Richard O'brien | Internal Medicine | 422 Idlewild Dr, Dillon, CO 80435-8335 | 2013-02-18 |
| 1275850752 | Richard T. O'brien | Pediatrics | 4527 South 2995 East, Holladay, UT 84117-4636 | 2010-04-23 |
| 1902981541 | Richard O'brien | Internal Medicine | 1180 E. Main St, East Central Health Center, Columbus, OH 43205 | 2006-10-25 |
| 1043316383 | Richard Kevin O'brien | Chiropractor | 4 Harvard Cir, Suite 700, West Palm Beach, FL 33409-1991 | 2006-09-15 |
| 1619084944 | Richard F O'brien | Specialist | 4545 E 9th Ave Ste 670, Denver, CO 80220-3918 | 2006-08-24 |
| 1225568496 | Richard James O'brien | Social Worker | 505 W 15th St, Pleasanton, KS 66075-4095 | 2017-06-19 |
| 1740412642 | Richard E O'brien | Physician Assistant | 6701 Fannin St, Houston, TX 77030-2316 | 2009-08-12 |
| 1346297306 | Richard Joseph O'brien | Psychiatry & Neurology | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2006-05-27 |
| 1316929938 | Richard Arthur O'brien | Psychiatry & Neurology | 10420 Little Patuxent Pkwy, Suite 250, Columbia, MD 21044-3533 | 2005-11-18 |
| Street Address |
4607 HAMPTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699120287 | Erin S. Scimone, D.m.d. LLC | Dentist | 4607 Hampton Ave, Saint Louis, MO 63109-2749 | 2016-05-02 |
| 1538414826 | Erin Scimone | Dentist | 4607 Hampton Ave, Saint Louis, MO 63109-2749 | 2012-07-23 |
| 1558514117 | Elise Renee' Kobe | Dentist | 4607 Hampton Ave, Saint Louis, MO 63109-2749 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770011926 | Azadeh Afshari, Dds LLC | Dentist | 517 S Euclid Ave Bldg Ste 819, Saint Louis, MO 63110-1007 | 2017-06-01 |
| 1093738858 | Richard Blustein | Dentist | 711 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2006-07-25 |
| 1912272212 | Barry S Goldenberg | Dentist | 777 S New Ballas Rd, Suite 213-e, Saint Louis, MO 63141-8705 | 2012-03-20 |
| 1205146636 | Mohamed Elsafi, Dds LLC | Dentist | 517 S Euclid Ave, Mcmillan Building Suite 819, Saint Louis, MO 63110-1007 | 2010-10-19 |
| 1164565958 | Joseph Frederick Shea | Dentist | 3555 Sunset Office Dr, Suite 200, Saint Louis, MO 63127-1015 | 2007-02-14 |
| 1750447165 | Barry S. Goldenberg, D.m.d., M.s., P.C. | Dentist | 777 S New Ballas Rd, Suite 213-e, Saint Louis, MO 63141-8705 | 2006-12-29 |
| 1508951666 | Thomas M Matthes | Dentist | 11710 Old Ballas Rd, Suite 200, Saint Louis, MO 63141-7076 | 2006-10-04 |
| 1871517441 | Robert E Willis | Dentist | 777 S New Ballas Rd, Suite 318 W, Saint Louis, MO 63141-8705 | 2006-07-27 |
| 1528023827 | John Joseph Wahle | Dentist | 915 N Grand Blvd, Va Medical Center, Dental Service, 11f/8, Saint Louis, MO 63106-1621 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605019 | Bhavika V Thakkar | Dentist | 650 E 25th St Rm 277, Kansas City, MO 64108-2716 | 2020-03-25 |
| 1285159004 | C. Alan Mcquigg Dds Ms PC | Dentist | 620 W 32nd St Ste C, Joplin, MO 64804-2528 | 2017-08-14 |
| 1487958112 | Carol Kim | Dentist | 3842 S Glenstone Ave, Springfield, MO 65804-4418 | 2011-01-11 |
| 1972750909 | Kevin D Wallace | Dentist | 1200 E Woodhurst Dr Ste A200, Springfield, MO 65804-3745 | 2008-08-21 |
| 1235322108 | Glen H Petteway | Dentist | 1200 E Woodhurst, Ste T300, Springfield, MO 65804-3784 | 2007-08-23 |
| 1881899466 | Warren Henry Speiser | Dentist | 885 St Francois Street, Florissant, MO 63031-4923 | 2007-06-15 |
| 1134282023 | Kristine Kae Schrock | Dentist | 3906 Sherman Ave, Saint Joseph, MO 64506-3648 | 2006-12-19 |
| 1487740189 | Kyle Donahue | Dentist | 2020 Bluestone Dr, Saint Charles, MO 63303-5974 | 2006-10-04 |
| 1265479885 | Donna N Deines | Dentist | 203 E 63rd St, Kansas City, MO 64113-2224 | 2006-06-01 |
| 1669443990 | Timothy Scott Bartlett | Dentist | 1497 N Business Route 5, Camdenton, MO 65020-2636 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on DR. RICHARD LANE O'BRIEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.