Active NPI
Roberta C Osborn, DDS
- Dentist
- Burlington, NC
National Provider Identifier
1083771166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7792
- Practice address
- 319 N Graham Hopedale Rd FL B
Burlington, NC 27217-2992 - Phone
- (336) 513-2259
- Fax
- (336) 513-5593
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7792 | NC | Primary |
Addresses
Primary practice location
319 N Graham Hopedale Rd FL B
Burlington, NC 27217-2992
Mailing address
609 McGee St
Graham, NC 27253-3217
Phone (336) 513-2256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150910000934 | NC | Order and Referring Only - Oral Surgery | 1951618826 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7792 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083771166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 MCGEE ST",
"city": "GRAHAM",
"state": "NC",
"postal_code": "272533217",
"telephone_number": "336-513-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N GRAHAM HOPEDALE RD FL B",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172992",
"telephone_number": "336-513-2259",
"fax_number": "336-513-5593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "ROBERTA",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.