Active NPI
Jeffrey Stephen Cobbs, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1376744623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2388
- Practice address
- 1735 SW Chandler Ave
Suite 3
Bend, OR 97702-3235 - Phone
- (541) 389-0263
- Fax
- (541) 389-0676
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2388 | OR | Primary |
Addresses
Primary practice location
1735 SW Chandler Ave
Suite 3
Bend, OR 97702-3235
Mailing address
1735 SW Chandler Ave
Suite 3
Bend, OR 97702-3235
Phone (541) 389-0263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160426000627 | OR | Practitioner - Chiropractic | 9234438235 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61555 Parrell Rd
Bend, OR 97702-2701
Phone (541) 318-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2388 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Doctor, Inc. | Current | Accepting new patients |
Locations
61555 Parrell Rd
Bend, OR 97702
Phone (541) 318-1000
1693 SW Chandler Ave
Ste 280
Bend, OR 97702
Phone (541) 318-1000
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": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376744623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 SW CHANDLER AVE",
"address_2": "SUITE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977023235",
"telephone_number": "541-389-0263",
"fax_number": "541-389-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 SW CHANDLER AVE",
"address_2": "SUITE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977023235",
"telephone_number": "541-389-0263",
"fax_number": "541-389-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBBS",
"first_name": "JEFFREY",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.