Individual provider Active NPI

Scott R Rehm, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
National Provider Identifier
1346340783
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5525 Issued in NC
Practice address
2708 Henry St
Greensboro, NC 27405
Phone
(336) 621-1554
Fax
(336) 621-3402
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5525 NC Primary

Addresses

Primary practice location

2708 Henry St
Greensboro, NC 27405

Mailing address

2708 Henry St
Greensboro, NC 27405
Phone (336) 621-1554

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000890 NC Practitioner - Oral Surgery 2264413657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenan Bradshaw DDS MD PAGroup PAC ID 3779007711, 4 clinicians

Practice addresses (Care Compare)

2708 Henry St
Greensboro, NC 27405-3633
Phone (336) 621-1554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5525NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shenan Bradshaw DDS MD PA CurrentSince Jan 1, 2025 Accepting new patients
Shenan Bradshaw DDS MD PA Oral and Maxillofacial Surgery CurrentSince Feb 15, 2005 Accepting new patients

Locations

2708 Henry St
Greensboro, NC 27405
Phone (336) 621-1554

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1346340783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 HENRY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "336-621-1554",
            "fax_number": "336-621-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 HENRY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27405",
            "telephone_number": "336-621-1554",
            "fax_number": "336-621-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHM",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "5525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.