Brad O'Neill
Dentist, General Practice in Parker, CO. Individual provider (NPI-1).
NPI number1386863041
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386863041
- Entity type
- Individual (NPI-1)
- Name
- Brad O'Neill
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8911 | CO | Yes |
Practice location
18721 Ponderosa DrParker, CO 80134-8824
Phone 303-805-4655
Mailing address
18721 Ponderosa DrParker, CO 80134-8824
Phone 303-805-4655
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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