O'BRIEN DENTAL CARE
NPI 1710086459
Dentist - General Practice in Shakopee, MN
About O'brien Dental Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
O'BRIEN DENTAL CARE (NPI 1710086459) is a healthcare organization registered as a general practice in Shakopee, Minnesota and active in the NPI registry since September 2006. The organization lists Jodeen J O'brien, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
O'brien Dental Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to O'brien Dental Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is O'brien Dental Care's NPI number?
The NPI number for O'brien Dental Care is 1710086459. It was assigned to this organization in the NPPES registry on September 21, 2006.
Where is O'brien Dental Care located?
O'brien Dental Care is located at 250 Fuller St S Suite 250, Shakopee, MN 55379. The listed phone number is (952) 445-6657.
What is O'brien Dental Care's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is O'brien Dental Care enrolled in Medicare?
Yes. O'brien Dental Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through O'brien Dental Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dentist, reassign their Medicare billing to O'brien Dental Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for O'brien Dental Care was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# O'brien Dental Care · NPI 1710086459
General Practice organization in Shakopee, Minnesota. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1710086459 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Jodeen O'brien, OWNER/DENTIST
## Practice location
- **Address:** 250 FULLER ST S, SUITE 250, Shakopee, MN 55379
- **Phone:** (952) 445-6657 · **Fax:** (952) 445-0674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Dentist) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1710086459) · Data from the CMS NPPES public registry.