Organization Active NPI

Tobin Family Chiropractic

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1326477373
Registry record updated Nov 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4423 Issued in NC
Legal business name
TOBIN FAMILY CHIROPRACTIC
Practice address
3721 Lynn Rd
Suite 116
Raleigh, NC 27613-3854
Phone
(352) 978-0250
NPI assigned
Nov 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2013

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

Authorized official

Name
Brent Scott Tobin, D.C.NPI 1164862173
Title
President
Phone
(352) 978-0250

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 4423 NC Primary

Addresses

Primary practice location

3721 Lynn Rd
Suite 116
Raleigh, NC 27613-3854

Mailing address

3721 Lynn Rd
Suite 116
Raleigh, NC 27613-3854
Phone (352) 978-0250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140610001147 NC Part B Supplier - Clinic/Group Practice 4183848328 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

3721 Lynn Rd
Ste 116
Raleigh, NC 27613
Phone (919) 782-2014

Practitioners & affiliated clinicians

Practitioners 1

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": "1383955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383955200000",
    "number": "1326477373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 LYNN RD",
            "address_2": "SUITE 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133854",
            "telephone_number": "352-978-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 LYNN RD",
            "address_2": "SUITE 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133854",
            "telephone_number": "352-978-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-978-0250",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.