Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487175634 Individual Practitioner Male Practitioner

Johnathon O'brien

Dentist - General Practice • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Johnathon O'Brien is a registered healthcare professional specializing in Dentist - General Practice in Omaha, NE. Practice services are available at 3225 OAK VIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3225 Oak View Dr

Omaha, NE 681445627

Telephone 4029724400
Associated Practice Facility / Clinic
🏢 Koentjoro Dentistry, Dds, Llc Facility NPI 1245605153

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
282 Specialists

Practicing in Omaha, NE (832 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 7373

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IA 09395

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 101359-875

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kaitlin Cronin , DDS

Dentist - General Practice

NPI 1578086948

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location June 07, 2024

Registered at 3225 OAK VIEW DR, OMAHA, NE 681445627 (Tel: 4029724400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2024

Dentist (License #09395 in IA)

📍
Updated Practice Location January 29, 2024

Registered at 2953 5TH AVE S, FORT DODGE, IA 505012923 (Tel: 5159547890)

📍
Updated Practice Location September 13, 2023

Registered at 7059 DODGE ST STE 102, OMAHA, NE 681322703 (Tel: 4026866186)

📍
Updated Business Mailing Address September 13, 2023

Registered at 7059 DODGE ST STE 102, OMAHA, NE 681322703 (Tel: 4026866186)

📍
Updated Practice Location August 31, 2022

Registered at 140 E 22ND ST, FREMONT, NE 680252667 (Tel: 4027274400)

📍
Updated Business Mailing Address August 31, 2022

Registered at 140 E 22ND ST, FREMONT, NE 680252667 (Tel: 4027274400)

📍
Updated Practice Location February 22, 2021

Registered at 2456 S 120TH ST, OMAHA, NE 681442811 (Tel: 4023331313)

📍
Updated Business Mailing Address February 22, 2021

Registered at 2456 S 120TH ST, OMAHA, NE 681442811 (Tel: 4023331313)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2021

Dentist (License #7373 in NE)

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2017

Registered at 320 MCKENZIE AVE STE 101, COUNCIL BLUFFS, IA 515031002 (Tel: (712) 322-5318)

📍
Updated Business Mailing Address June 28, 2017

Registered at 320 MCKENZIE AVE STE 101, COUNCIL BLUFFS, IA 515031002 (Tel: 7123225318)

👤
Provider Name / Credentials Updated June 28, 2017

Recorded as JOHNATHON O'BRIEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Dentist (License #09395 in IA)

🟢
Initial NPI Registration & Enumeration June 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487175634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2017
Last Update: June 07, 2024
Sole Proprietor: No

Mailing Address

7059 Dodge St Ste 102

Omaha, NE 681322703

Phone: 4026866186

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.