Individual provider Active NPI

Todd James Nobbe, D.C.

  • Chiropractor
  • Columbia, IL
National Provider Identifier
1265404511
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007646 Issued in IL
Practice address
301 McCrosky Professional Park
Columbia, IL 62236-2473
Phone
(618) 281-4000
Fax
(618) 281-5558
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007646 IL Primary

Addresses

Primary practice location

301 McCrosky Professional Park
Columbia, IL 62236-2473

Mailing address

301 McCrosky Professional Park
Columbia, IL 62236-2473
Phone (618) 281-4000

Other identifiers 2

IdentifierTypeStateIssuer
038007646OtherILBLUE CROSS BLUE SHIELD
350033968OtherILRAILRAOD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000778 IL Practitioner - Chiropractic 4981780046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nobbe Chiropractic Office LTD.Group PAC ID 4082799069, 2 clinicians

Practice addresses (Care Compare)

301 McCrosky Professional Park
Columbia, IL 62236-2473
Phone (618) 281-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007646ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nobbe Chiropractic Office LTD. Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

301 McCrosky Professional Park
Columbia, IL 62236
Phone (618) 281-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1265404511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCROSKY PROFESSIONAL PARK",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362473",
            "telephone_number": "618-281-4000",
            "fax_number": "618-281-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCROSKY PROFESSIONAL PARK",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362473",
            "telephone_number": "618-281-4000",
            "fax_number": "618-281-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBBE",
        "first_name": "TODD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "038007646",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD",
            "identifier": "350033968",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.