Active NPI
Jama L. Obermiller, DDS
- Dentist
- Grand Island, NE
National Provider Identifier
1780726406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6361
- Practice address
- 1003 W 3Rd St
Grand Island, NE 68801-5831 - Phone
- (308) 382-0110
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6361 | NE | Primary |
Addresses
Primary practice location
1003 W 3Rd St
Grand Island, NE 68801-5831
Mailing address
4112 Buckingham Dr
Grand Island, NE 68803-6426
Phone (308) 398-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Obermiller LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Grand Island, NE
- NPI 1023387743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780726406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 BUCKINGHAM DR",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688036426",
"telephone_number": "308-398-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W 3RD ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015831",
"telephone_number": "308-382-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERMILLER",
"first_name": "JAMA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.