NPIMap

Organization Active NPI

O'Berry Neuro Medical Treatment Center

  • Dental Clinic/Center
  • Goldsboro, NC
National Provider Identifier
1447518527
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
O'BERRY NEURO MEDICAL TREATMENT CENTER
Practice address
400 Old Smithfield Rd
Goldsboro, NC 27530-8464
Phone
(919) 581-4001
Fax
(919) 581-4005
NPI assigned
Apr 26, 2012
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Karen Burkes
Title
Director
Phone
(919) 855-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

400 Old Smithfield Rd
Goldsboro, NC 27530-8464

Mailing address

400 Old Smithfield Rd
Goldsboro, NC 27530-8464
Phone (919) 581-4001

Other identifiers 3

IdentifierTypeStateIssuer
3495189MedicaidNC
3406028MedicaidNC
3408028MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
O'Berry Neuro-Medical Treatment Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1447518527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD SMITHFIELD RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308464",
            "telephone_number": "919-581-4001",
            "fax_number": "919-581-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD SMITHFIELD RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308464",
            "telephone_number": "919-581-4001",
            "fax_number": "919-581-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BERRY NEURO MEDICAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BURKES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-855-4700"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3495189",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408028",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.