Individual provider Active NPI

Ron Overberg, PHD, R.D.

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1942245790
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07458 Issued in TX
Practice address
8345 Walnut Hill LN
Ste 220
Dallas, TX 75231-4209
Phone
(214) 368-4132
Fax
(214) 691-8432
NPI assigned
Jun 17, 2006
Last updated
Aug 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT07458 TX Primary

Addresses

Primary practice location

8345 Walnut Hill LN
Ste 220
Dallas, TX 75231-4209

Mailing address

8345 Walnut Hill LN
Ste 220
Dallas, TX 75231-4209
Phone (214) 368-4132

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DT07458TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Environmental Health Center Dallas PastSince Nov 21, 2018 Accepting new patients
Environmental Health Center - North Texas PA PastSince Feb 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1942245790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 WALNUT HILL LN",
            "address_2": "STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314209",
            "telephone_number": "214-368-4132",
            "fax_number": "214-691-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 WALNUT HILL LN",
            "address_2": "STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314209",
            "telephone_number": "214-368-4132",
            "fax_number": "214-691-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBERG",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "PHD, R.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.