Individual provider Active NPI

Thomas G Cobler Jr., D.C.

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1083705990
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NE # 1393 Issued in NE
Practice address
2237 N Webb Rd
Grand Island, NE 68803-1740
Phone
(308) 382-2222
Fax
(308) 382-9462
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NE # 1393 NE Primary

Addresses

Primary practice location

2237 N Webb Rd
Grand Island, NE 68803-1740

Mailing address

2237 N Webb Rd
Grand Island, NE 68803-1740
Phone (308) 382-2222

Other identifiers 2

IdentifierTypeStateIssuer
10025894100MedicaidNE
NE # 1393OtherNESTATE LICENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000853 NE Practitioner - Chiropractic 1153397864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cobler Chiropractic IncGroup PAC ID 9032235239, 4 clinicians

Practice addresses (Care Compare)

1915 N Webb Rd
Suite B
Grand Island, NE 68803-3504
Phone (308) 382-2222

2237 N Webb Rd
Grand Island, NE 68803-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3897WIMDProfessional Counselor
06383IAMDSocial Worker
NE # 1393NEMDChiropractor
1393NEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Chiropractic Clinics Inc Chiropractor PastSince Apr 25, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dr@cci0001.direct.chirotouch.md

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1083705990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031740",
            "telephone_number": "308-382-2222",
            "fax_number": "308-382-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031740",
            "telephone_number": "308-382-2222",
            "fax_number": "308-382-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "NE # 1393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025894100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "NE # 1393",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.