Organization Active NPI

Nobbe Chiropractic Office LTD.

  • Chiropractor
  • Columbia, IL
National Provider Identifier
1104044734
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060003381 038003552 Issued in IL
Legal business name
NOBBE CHIROPRACTIC OFFICE LTD.
Practice address
301 McCrosky Professional Park
Columbia, IL 62236-2473
Phone
(618) 281-4000
Fax
(618) 281-5558
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. James George Nobbe, D.C.NPI 1649241191
Title
Doctor
Phone
(618) 281-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 060003381 038003552 IL Primary

Addresses

Primary practice location

301 McCrosky Professional Park
Columbia, IL 62236-2473

Mailing address

301 McCrosky Professional Park
Columbia, IL 62236-2473
Phone (618) 281-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000550 IL Part B Supplier - Clinic/Group Practice 4082799069 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, IL

National Provider Directory

National Provider Directory

Locations

301 McCrosky Professional Park
Columbia, IL 62236
Phone (618) 281-4000

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1104044734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCROSKY PROFESSIONAL PARK",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362473",
            "telephone_number": "618-281-4000",
            "fax_number": "618-281-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCROSKY PROFESSIONAL PARK",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362473",
            "telephone_number": "618-281-4000",
            "fax_number": "618-281-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBBE CHIROPRACTIC OFFICE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "NOBBE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-281-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060003381 038003552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.