Organization Active NPI

Cobb Chiropractic, LLC

  • Chiropractor
  • Fredericksburg, TX
National Provider Identifier
1164818571
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12097 Issued in TX
Legal business name
COBB CHIROPRACTIC, LLC
Doing business as
Cobb Chiropractic
Practice address
412 S Adams St
Fredericksburg, TX 78624-4107
Phone
(830) 992-3221
Fax
(830) 992-3212
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Dr. Neal Cobb, D.C.
Title
Owner
Phone
(830) 992-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12097 TX Primary

Addresses

Primary practice location

412 S Adams St
Fredericksburg, TX 78624-4107

Mailing address

412 S Adams St
Fredericksburg, TX 78624-4107
Phone (830) 992-3221

Other names 1

  • Cobb Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

905 S Adams St
Fredericksburg, TX 78624
Phone (830) 992-3221

412 S Adams St
Fredericksburg, TX 78624
Phone (830) 992-3221

Practitioners & affiliated clinicians

Practitioners 1

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1164818571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244107",
            "telephone_number": "830-992-3221",
            "fax_number": "830-992-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244107",
            "telephone_number": "830-992-3221",
            "fax_number": "830-992-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-992-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.