Individual provider Active NPI

Cheyanne Cobb, DC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1043019201
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
124871 Issued in IA
Practice address
2509 53Rd Ave
Bettendorf, IA 52722-6248
Phone
(563) 275-2572
Fax
(563) 726-7430
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 124871 IA Primary

Addresses

Primary practice location

2509 53Rd Ave
Bettendorf, IA 52722-6248

Mailing address

2509 53Rd Ave
Bettendorf, IA 52722-6248
Phone (563) 275-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000826 IA Practitioner - Chiropractic 4385166172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homestead Chiropractic PLLC 2 clinicians

Practice addresses (Care Compare)

2509 53Rd Ave
Bettendorf, IA 52722-6248
Phone (563) 275-2572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Chiropractic PLLC Chiropractor CurrentSince Mar 10, 2025 Accepting new patients

Locations

2509 53rd Ave
Bettendorf, IA 52722
Phone (563) 275-2572

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1043019201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226248",
            "telephone_number": "563-275-2572",
            "fax_number": "563-726-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226248",
            "telephone_number": "563-275-2572",
            "fax_number": "563-726-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "CHEYANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "124871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.