Organization Active NPI

Dr. Ilyne Kobrin

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1043452220
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6308 Issued in FL
Legal business name
DR. ILYNE KOBRIN
Practice address
11075 E Acacia Dr
Scottsdale, AZ 85255-2418
Phone
(239) 263-3330
NPI assigned
Apr 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Ilyne Kobrin Urbanovich, DC
Title
Ceo
Phone
(239) 263-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6308 FL Primary

Addresses

Primary practice location

11075 E Acacia Dr
Scottsdale, AZ 85255-2418

Mailing address

11075 E Acacia Dr
Scottsdale, AZ 85255-2418
Phone (239) 263-3330

Other identifiers 1

IdentifierTypeStateIssuer
22665ZOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Back Bean and Dr Ilyne Kobrin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

223 Airport Rd S
Naples, FL 34104
Phone (239) 263-3330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1043452220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 E ACACIA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552418",
            "telephone_number": "239-263-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 E ACACIA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552418",
            "telephone_number": "239-263-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ILYNE KOBRIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "URBANOVICH",
        "authorized_official_first_name": "ILYNE",
        "authorized_official_middle_name": "KOBRIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-263-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "22665Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.