Active NPI
Casey Allen Coberly, D.C.
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1013147487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007217
- Practice address
- 5270 N Park PL NE Ste 113
Cedar Rapids, IA 52402-6222 - Phone
- (319) 310-8148
- NPI assigned
- Jul 20, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007217 | IA | Primary |
Addresses
Primary practice location
5270 N Park PL NE Ste 113
Cedar Rapids, IA 52402-6222
Mailing address
5270 N Park PL NE Ste 113
Cedar Rapids, IA 52402-6222
Phone (319) 310-8148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100222000824 | IA | Practitioner - Chiropractic | 1153465653 | Practice locations: Cedar Rapids, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4330 Czech LN NE
Suite A6
Cedar Rapids, IA 52402-2334
Phone (319) 310-8148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007217 | IA | MD | Social Worker |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bierman Family Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
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.
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1659702108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1013147487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5270 N PARK PL NE STE 113",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524026222",
"telephone_number": "319-310-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 N PARK PL NE STE 113",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524026222",
"telephone_number": "319-310-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBERLY",
"first_name": "CASEY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.