Active NPI
Scott Oberlin, CPSW
- Peer Specialist
- Truth Or Consequences, NM
National Provider Identifier
1104399369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 825
- Practice address
- 614 McAdoo St Ste B
Truth Or Consequences, NM 87901-2706 - Phone
- (575) 297-0171
- Fax
- (575) 894-7383
- NPI assigned
- Jan 9, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 825 | NM | Primary |
Addresses
Primary practice location
614 McAdoo St Ste B
Truth Or Consequences, NM 87901-2706
Mailing address
614 McAdoo St Ste B
Truth Or Consequences, NM 87901-2706
Phone (575) 297-0171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1104399369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 MCADOO ST STE B",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012706",
"telephone_number": "575-297-0171",
"fax_number": "575-894-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 MCADOO ST STE B",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012706",
"telephone_number": "575-297-0171",
"fax_number": "575-894-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERLIN",
"first_name": "SCOTT",
"credential": "CPSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-09",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.