R. Scott Roberts, DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D7517 Issued in OR

Practice address

3500 Cedar St
North Bend, OR 97459-1108

Phone

(541) 756-0558

Fax

(541) 756-1974

NPI assigned

Oct 13, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Rochester School of Medicine and Dentistry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R Scott Roberts DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • North Bend, OR
  • NPI 1659479095
  Medicare reassignment NPD
• Dane E. Smith DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Brookings, OR
  • NPI 1861591679
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Hospital District

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154319176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CEDAR ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591108",
            "telephone_number": "541-756-0558",
            "fax_number": "541-756-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CEDAR ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591108",
            "telephone_number": "541-756-0558",
            "fax_number": "541-756-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "R. SCOTT",
        "credential": "DDS  PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D7517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "D7517",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297175",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Richards, D.C.
• Rick'S Medical Supply, LLC
• Rite Aid
• Toni Lee Robbins
• Dominica N Roberts, FNP
• Jennifer Sue Rodriguez, MSW
• Lillian Mia Rogers
• Teresa Marie Romero, LCSW
• Braidy Rose
• Savannah Rose, DMD

• Oral and Maxillofacial Surgery (Dentist) in North Bend, OR
• Providers in North Bend, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.