JON O'BRIEN DDS
NPI 1922121920
Dentist - General Practice in Grand Rapids, MI

Q: What is Jon O'brien's NPI number?

The NPI number for Jon O'brien is 1922121920. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Jon O'brien's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jon O'brien was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 06, 2007

1503 COIT AVE NE, GRAND RAPIDS, MI 49505(616) 361-2617(616) 361-2390 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jon O'brien Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON O'BRIEN DDS (NPI 1922121920) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (11606) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1922121920

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJON O'BRIENCredential: DDS

Location Address1503 COIT AVE NEGrand Rapids, MI 49505-4906

Mailing Address1503 Coit Ave NeGrand Rapids, MI 49505-4906 · (616) 361-2617 · Fax (616) 361-2390

Phone(616) 361-2617

Fax(616) 361-2390

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1922121920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 11606

Definition

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.

1503 COIT AVE NE, Grand Rapids, MI 49505

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Other Identifiers 2

Other11606MI · State Id Number

Medicaid4051278MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

O'BRIEN AND O'BRIEN DDS PC

Dentist (General Practice)

1503 COIT AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 361-2617

DR. DANIEL ROBERT O'BRIEN D.D.S.

Dentist (General Practice)

1503 COIT AVE NE
GRAND RAPIDS, MI 49505

Kent County (616) 361-2617

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 Jon O'brien's NPI number?

The NPI number for Jon O'brien is 1922121920. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Jon O'brien located?

Jon O'brien practices at 1503 Coit Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 361-2617.

What is Jon O'brien's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jon O'brien was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.