Individual provider Active NPI

Robert Brent Newcomb, D.C.

  • Chiropractor
  • Broken Arrow, OK
National Provider Identifier
1164582227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2262 Issued in OK
Practice address
400 N Main St
Suite 1
Broken Arrow, OK 74012-3962
Phone
(918) 251-4239
Fax
(918) 258-7200
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2262 OK Primary

Addresses

Primary practice location

400 N Main St
Suite 1
Broken Arrow, OK 74012-3962

Mailing address

400 N Main St
Suite 1
Broken Arrow, OK 74012-3962
Phone (918) 251-4239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000095 OK Practitioner - Chiropractic 8022132729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newcomb Chiropractic Clinic Inc PCGroup PAC ID 4688798382, 2 clinicians

Practice addresses (Care Compare)

400 N Main St
Suite 1
Broken Arrow, OK 74012-3962
Phone (918) 251-4239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2262OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Newcomb Chiropractic Clinic Inc PC Chiropractor CurrentSince May 23, 2010 Accepting new patients

Locations

400 N Main St
Ste 1
Broken Arrow, OK 74012
Phone (918) 251-4239

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164582227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123962",
            "telephone_number": "918-251-4239",
            "fax_number": "918-258-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123962",
            "telephone_number": "918-251-4239",
            "fax_number": "918-258-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "ROBERT",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.