Individual provider Active NPI

Jeremy Davis Kobler, D.C

  • Pediatric Chiropractor
  • Kansas City, MO
National Provider Identifier
1265704688
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2012008307 Issued in MO
Practice address
500 NW Englewood Rd
Kansas City, MO 64118-3960
Phone
(816) 569-6577
Fax
(816) 569-6843
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012008307 MO
Pediatric Chiropractor 111NP0017X 2012008307 MO Primary

Addresses

Primary practice location

500 NW Englewood Rd
Kansas City, MO 64118-3960

Mailing address

500 NW Englewood Rd
Kansas City, MO 64118-3960
Phone (816) 569-6577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807000389 MO Practitioner - Chiropractic 7012177355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kobler Chiropractic and Acupuncture LLCGroup PAC ID 9133346653, 2 clinicians

Practice addresses (Care Compare)

500 NW Englewood Rd
Kansas City, MO 64118-3960
Phone (816) 569-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012008307MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kobler Chiropractic and Acupuncture LLC CurrentSince Mar 1, 2014 Accepting new patients

Locations

500 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 569-6577

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1265704688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183960",
            "telephone_number": "816-569-6577",
            "fax_number": "816-569-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183960",
            "telephone_number": "816-569-6577",
            "fax_number": "816-569-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLER",
        "first_name": "JEREMY",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012008307",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2012008307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.