Organization Active NPI

Gober Chiropractic Centers Inc

  • Chiropractor
  • White Marsh, MD
National Provider Identifier
1063533628
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03470 Issued in MD
Legal business name
GOBER CHIROPRACTIC CENTERS INC
Practice address
5430 Campbell Blvd
Ste. 106
White Marsh, MD 21162-5500
Phone
(443) 725-4930
Fax
(443) 725-4933
NPI assigned
Apr 2, 2007
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Dr. Timothy Gober, D.C.NPI 1679658405
Title
Owner
Phone
(443) 725-4930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03470 MD Primary

Addresses

Primary practice location

5430 Campbell Blvd
Ste. 106
White Marsh, MD 21162-5500

Mailing address

5430 Campbell Blvd
Ste. 106
White Marsh, MD 21162-5500
Phone (443) 725-4930

Other identifiers 2

IdentifierTypeStateIssuer
6146OtherMDCAREFIRST
23ZKOtherMDCAREFIRST

National Provider Directory

National Provider Directory

Locations

5430 Campbell Blvd
Ste 106
White Marsh, MD 21162
Phone (443) 725-4930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1063533628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD",
            "address_2": "STE. 106",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625500",
            "telephone_number": "443-725-4930",
            "fax_number": "443-725-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD",
            "address_2": "STE. 106",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625500",
            "telephone_number": "443-725-4930",
            "fax_number": "443-725-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOBER CHIROPRACTIC CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-725-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "6146",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "23ZK",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Marsh, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.