Active NPI
Thomas Clay Coburn, DC
- Chiropractor
- Opelika, AL
National Provider Identifier
1265218622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2789
- Practice address
- 2011 Gateway Dr
Opelika, AL 36801-6836 - Phone
- (334) 745-5321
- Fax
- (334) 745-5358
- NPI assigned
- Sep 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2789 | AL | Primary |
Addresses
Primary practice location
2011 Gateway Dr
Opelika, AL 36801-6836
Mailing address
2011 Gateway Dr
Opelika, AL 36801-6836
Phone (334) 745-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2789 | AL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herring Spine & Rehab, Inc. | Chiropractor | Current | Accepting new patients |
Locations
2011 Gateway Dr
Opelika, AL 36801
Phone (334) 745-5321
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": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1265218622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 GATEWAY DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368016836",
"telephone_number": "334-745-5321",
"fax_number": "334-745-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 GATEWAY DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368016836",
"telephone_number": "334-745-5321",
"fax_number": "334-745-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBURN",
"first_name": "THOMAS",
"middle_name": "CLAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.