Gregory a. Oberg, P.S.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH00000995 Issued in WA

Legal business name

GREGORY A. OBERG, P.S.

Practice address

604 Williams Blvd Ste a
Richland, WA 99354-3207

Phone

(509) 946-0631

Fax

(509) 946-0632

NPI assigned

Dec 20, 2007

Last updated

Nov 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory A Oberg, DC, FACONPI 1962524959

Title

Chiropractor

Phone

(509) 946-0631

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Korey Carleton, DC

  • Chiropractor
  • Richland, WA
  • NPI 1982235834
  Medicare reassignment NPD
• Gregory A Oberg, D.C.

  • Chiropractor
  • Richland, WA
  • NPI 1962524959
  Authorized official Same address or phone
• Mathew Richard Lucas, D.C.

  • Chiropractor
  • Richland, WA
  • NPI 1407178031
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1295919611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WILLIAMS BLVD STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543207",
            "telephone_number": "509-946-0631",
            "fax_number": "509-946-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WILLIAMS BLVD STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543207",
            "telephone_number": "509-946-0631",
            "fax_number": "509-946-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. OBERG, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "OBERG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-946-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FACO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00000995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0227634",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Gray, ATC
• Steve Brigham Gray, CRNA
• Bradley R Green, MS, RDN, CD
• Candace C Green, M.D.
• Melinda P. Greene, RNFA
• Scott D Grewe, PH.D.
• Valerie Lynn Griffin, MA
• Douglas Edward Griffith, ARNP-C
• Patti Coyle Gronewald, RN
• Reuben James Grothaus, D.O.

• Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.