Individual provider Active NPI

Casey Allen Coberly, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1013147487
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007217 Issued in IA
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

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
007217IAMDSocial Worker

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.