Darin D Oberhart, LPN, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

083354 Issued in IA

Practice address

1737 Grant St
Bettendorf, IA 52722-4924

Phone

(563) 528-5711

NPI assigned

Jun 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1245899475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 GRANT ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224924",
            "telephone_number": "563-528-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 GRANT ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224924",
            "telephone_number": "563-528-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHART",
        "first_name": "DARIN",
        "middle_name": "D",
        "credential": "LPN, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "083354",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P29320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Bettendorf",
            "affiliation": "N",
            "address_1": "1737 Grant St",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527224924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary Stewart Norton, PMHNP
• Dawn M Nowell, FNP
• Nutrition Up LLC
• Martin R O'Malley, M.D.
• Joanna Kay Oberbroeckling
• Mary Carol Oberhart, APRN
• Occupational Health Centers of the Southwest P.a.
• Jaroslava Odvarko, DC
• Kyongsock Oh, DC
• Holly Olson, ARNP

• Massage Therapist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Massage Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.