Individual provider Active NPI

Jeremy Oborny, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1265599666
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5826 Issued in CO
Practice address
1231 Lake Plaza Dr
Colorado Springs, CO 80906-3571
Phone
(719) 576-2225
Fax
(719) 576-2235
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5826 CO Primary

Addresses

Primary practice location

1231 Lake Plaza Dr
Colorado Springs, CO 80906-3571

Mailing address

1231 Lake Plaza Dr
Colorado Springs, CO 80906-3571
Phone (719) 576-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000486 CO Practitioner - Chiropractic 2062671951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Health and Wellness, Inc.Group PAC ID 3779538400, 5 clinicians

Practice addresses (Care Compare)

1231 Lake Plaza Dr
Colorado Springs, CO 80906-3571
Phone (719) 576-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5826COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health and Wellness, Inc. Chiropractor CurrentSince Sep 25, 2018 Accepting new patients
Salsman Chiropractic Health Center Chiropractor PastSince Sep 25, 2018 Accepting new patients

Locations

1231 Lake Plaza Dr
Ste B
Colorado Springs, CO 80906

1231 Lake Plaza Dr
Colorado Springs, CO 80906
Phone (719) 576-2225

Organizations & group practices 2

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1265599666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 LAKE PLAZA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063571",
            "telephone_number": "719-576-2225",
            "fax_number": "719-576-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 LAKE PLAZA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063571",
            "telephone_number": "719-576-2225",
            "fax_number": "719-576-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBORNY",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.