Gregory Lyle Obermann

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105199 Issued in CO

Practice address

7251 West 20TH Street
BLDG.H-2
Greeley, CO 80634

Phone

(970) 351-7153

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013132737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 45TH AVENUE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-330-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 WEST 20TH STREET",
            "address_2": "BLDG.H-2",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-351-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMANN",
        "first_name": "GREGORY",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John O'Rand
• Julia Rose O'Riordan
• Linda M O'Shea, MA LPC
• Diana Rachel Oaks, M.A., CCC-A, FAAA
• Obermann Dental
• Obhg Colorado, P.C.
• Mary Christine Obrien, DO
• Obstetrix Medical Group of Colorado, P.C.
• Obstetrix Medical Group of Colorado, P.C.
• Obstetrix Medical Group of Colorado, P.C.

• General Practice Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.