Active NPI
Mark R. Cobleigh
- Chiropractor
- Bellevue, NE
National Provider Identifier
1275711319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 633
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826350714 | Other | NE | RAILROAD MEDICARE |
| 4561145 | Other | NE | MIDLANDS CHOICE |
| 09618 | Other | NE | BLUE CROSS BLUE SHIELD |
| 0991463 | Other | IA | MEDICAID OF IOWA |
| 4480052 | Medicaid | NE | |
| 097692 | Other | NE | MEDICARE |
Other names 1
- Bellevue Chiropractic Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Bellevue, NE
- NPI 1407930878
-
- Chiropractor
- Omaha, NE
- NPI 1770665895
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.