Shasta Lake Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16454 Issued in CA

Legal business name

SHASTA LAKE CHIROPRACTIC

Practice address

4221 Shasta Dam Blvd
Shasta Lake, CA 96019-9423

Phone

(530) 275-1585

Fax

(530) 275-8662

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kay E Kobe, D.C.NPI 1568496743

Title

Owner/Partner

Phone

(530) 275-1585

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kay Ellen Kobe, D.C.

  • Chiropractor
  • Shasta Lake, CA
  • NPI 1568496743
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Lewis Kobe, D.C.

  • Chiropractor
  • Shasta Lake, CA
  • NPI 1912931197
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1235152364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960190776",
            "telephone_number": "530-275-1585",
            "fax_number": "530-275-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 SHASTA DAM BLVD",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199423",
            "telephone_number": "530-275-1585",
            "fax_number": "530-275-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA LAKE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "KOBE",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "530-275-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAY KOBE, DC PIN",
            "identifier": "DC0174570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRIS KOBE, DC  NPI",
            "identifier": "1912931197",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRIS KOBE, DC PIN",
            "identifier": "DC0164540",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDC000270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAY KOBE, DC  NPI",
            "identifier": "1568496743",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Ratliff, PT
• Redding Rancheria (Central Valley Healthcare)
• Gloria Richmond, LMFT
• Ronald G Chambers Inc
• Shasta Community Health Center (Shasta Lake Family Health & Dental Center)
• Shasta Lake Drug Store Inc (Shasta Lake Drug Store)
• Shasta Lake Physical Therapy
• Wallace Jay Spinks
• Steve Swirsky (S.S. Medical)
• The Cornerstone Recovery Systems, Inc.

• Chiropractor in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.