Organization Active NPI

Mark R. Cobleigh

  • Chiropractor
  • Bellevue, NE
National Provider Identifier
1275711319
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
633 Issued in NE
Legal business name
MARK R. COBLEIGH
Doing business as
Bellevue Chiropractic Center
Practice address
10403 S 15TH St
Suite 102
Bellevue, NE 68123-4448
Phone
(402) 734-6711
Fax
(402) 734-4162
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Mark Richard Cobleigh, D.C.NPI 1407930878
Title
Owner
Phone
(402) 734-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 633 NE Primary

Addresses

Primary practice location

10403 S 15TH St
Suite 102
Bellevue, NE 68123-4448

Mailing address

10403 S 15TH St
Suite 102
Bellevue, NE 68123-4448
Phone (402) 734-6711

Other identifiers 6

IdentifierTypeStateIssuer
826350714OtherNERAILROAD MEDICARE
4561145OtherNEMIDLANDS CHOICE
09618OtherNEBLUE CROSS BLUE SHIELD
0991463OtherIAMEDICAID OF IOWA
4480052MedicaidNE
097692OtherNEMEDICARE

Other names 1

  • Bellevue Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

10403 S 15th St
Ste 102
Bellevue, NE 68123
Phone (402) 734-6711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1275711319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 S 15TH ST",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234448",
            "telephone_number": "402-734-6711",
            "fax_number": "402-734-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10403 S 15TH ST",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234448",
            "telephone_number": "402-734-6711",
            "fax_number": "402-734-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R. COBLEIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COBLEIGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-734-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826350714",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "4561145",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09618",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF IOWA",
            "identifier": "0991463",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4480052",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "097692",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.