Active NPI
Jessica L Tobin
Doing business as Tobin Chiropractic
- Chiropractor
- Powell, WY
National Provider Identifier
1114116761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 657
- Legal business name
- JESSICA L TOBIN
- Doing business as
- Tobin Chiropractic
- Practice address
- 403 E 2ND St
Powell, WY 82435-1927 - Phone
- (307) 754-3436
- Fax
- (307) 754-7938
- NPI assigned
- Oct 19, 2007
- Reactivated
- May 13, 2008
- Last updated
- Feb 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica L Tobin, DC
- Title
- Office Manager Owner
- Phone
- (307) 754-3436
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 657 | WY | Primary |
Addresses
Primary practice location
403 E 2ND St
Powell, WY 82435-1927
Mailing address
403 E 2ND St
Powell, WY 82435-1927
Phone (307) 754-3436
Other names 1
- Tobin Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
403 E 2nd St
Powell, WY 82435
Phone (307) 754-3436
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.
-
- Chiropractor
- Powell, WY
- NPI 1942368188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455840000000",
"number": "1114116761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E 2ND ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824351927",
"telephone_number": "307-754-3436",
"fax_number": "307-754-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E 2ND ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824351927",
"telephone_number": "307-754-3436",
"fax_number": "307-754-7938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA L TOBIN",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2016-02-19",
"deactivation_date": "2008-01-22",
"reactivation_date": "2008-05-13",
"status": "A",
"authorized_official_last_name": "TOBIN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER OWNER",
"authorized_official_telephone_number": "307-754-3436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WY",
"license": "657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tobin Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.