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R SCOTT ROBERTS DDS PC
NPI 1659479095
Dentist - Oral and Maxillofacial Surgery in North Bend, OR

Active since September 20, 2006
3500 CEDAR ST, NORTH BEND, OR 97459(541) 756-0558(541) 756-1974 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About R Scott Roberts Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R SCOTT ROBERTS DDS PC (NPI 1659479095) is a healthcare organization registered as an oral and maxillofacial surgery in North Bend, Oregon and active in the NPI registry since September 2006. The organization lists R Scott Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1659479095
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameR SCOTT ROBERTS DDS PC
Location Address3500 CEDAR STNorth Bend, OR 97459-1108
Mailing Address3500 Cedar StNorth Bend, OR 97459-1108 · (541) 756-0558 · Fax (541) 756-1974
Phone(541) 756-0558
Fax(541) 756-1974
Organization SubpartNo
Authorized OfficialR Scott RobertsOwner · (541) 756-0558
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659479095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OR · D7517
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3500 CEDAR ST, North Bend, OR 97459
Open in Google Maps ↗

Other Identifiers 2

Medicaid297175OR
OtherD7517OR · Dental License #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

R Scott Roberts Dds Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to R Scott Roberts DDS PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Roberts, DDS PC
Oral Surgery
NPI 1154319176
3500 CEDAR ST
North Bend, OR 97459
(541) 756-0558
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Scott Roberts Dds PC's NPI number?

The NPI number for R Scott Roberts Dds PC is 1659479095. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is R Scott Roberts Dds PC located?

R Scott Roberts Dds PC is located at 3500 Cedar St, North Bend, OR 97459. The listed phone number is (541) 756-0558.

What is R Scott Roberts Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is R Scott Roberts Dds PC enrolled in Medicare?

Yes. R Scott Roberts Dds PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through R Scott Roberts Dds PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to R Scott Roberts Dds PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for R Scott Roberts Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.