Organization Active NPI

Obert Chiropractic Center PC

  • Chiropractor
  • Mishawaka, IN
National Provider Identifier
1255445078
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001423 Issued in IN
Legal business name
OBERT CHIROPRACTIC CENTER PC
Practice address
427 Lincoln Way East
Mishawaka, IN 46544-2213
Phone
(574) 258-4100
Fax
(574) 258-0477
NPI assigned
Aug 18, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Steven Carl Obert, DC
Title
Chiropractor
Phone
(574) 258-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001423 IN Primary

Addresses

Primary practice location

427 Lincoln Way East
Mishawaka, IN 46544-2213

Mailing address

427 Lincoln Way East
Mishawaka, IN 46544-2213
Phone (574) 258-4100

Other identifiers 1

IdentifierTypeStateIssuer
000000239248OtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1255445078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 LINCOLN WAY EAST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442213",
            "telephone_number": "574-258-4100",
            "fax_number": "574-258-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 LINCOLN WAY EAST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442213",
            "telephone_number": "574-258-4100",
            "fax_number": "574-258-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBERT CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "OBERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "574-258-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000239248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.