Active NPI
Scott Christian Oberg, DMD
- General Practice Dentistry
- Cherokee, NC
National Provider Identifier
1891925657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10273
- Practice address
- 1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253 - Phone
- (828) 497-9163
- Fax
- (828) 497-1723
- NPI assigned
- Jul 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN014820 | GA | |
| General Practice Dentistry | 1223G0001X | 10273 | NC | Primary |
Addresses
Primary practice location
1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253
Mailing address
1 Hospital Road
Caller Box C-268
Cherokee, NC 28719-9253
Phone (828) 497-9163
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891925657 | Other | NC | DELTA DENTAL OF NC |
| 1891925657 | Medicaid | NC | |
| 905LU | Other | NC | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014820 | GA | MD | General Practice Dentistry |
| 10273 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1891925657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"address_2": "CALLER BOX C-268",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "287199253",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"address_2": "CALLER BOX C-268",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "287199253",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERG",
"first_name": "SCOTT",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN014820",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF NC",
"identifier": "1891925657",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891925657",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "905LU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.