Organization Active NPI

McCabe Family Chiropractic, P. C.

  • Chiropractor
  • Rugby, ND
National Provider Identifier
1386820751
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
765 Issued in ND
Legal business name
MCCABE FAMILY CHIROPRACTIC, P. C.
Practice address
218 S Main Ave
Rugby, ND 58368-1721
Phone
(701) 776-7676
Fax
(701) 776-7677
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Dr. Tobias Tyler McCabe, D.C.NPI 1740353374
Title
Chiropractor
Phone
(701) 776-7676

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 765 ND Primary

Addresses

Primary practice location

218 S Main Ave
Rugby, ND 58368-1721

Mailing address

218 S Main Ave
Rugby, ND 58368-1721
Phone (701) 776-7676

Other identifiers 2

IdentifierTypeStateIssuer
26471OtherNDBCBS
14321MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000079 ND Part B Supplier - Clinic/Group Practice 5193732303 Receives reassigned benefits from 1 practitioner
Practice locations: Rolla, ND; Rugby, ND

National Provider Directory

National Provider Directory

Locations

218 S Main Ave
Rugby, ND 58368
Phone (701) 776-7676

Interoperability endpoints

  • Direct secure messaging: toby@mfcp0003.direct.chirotouch.md

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1386820751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MAIN AVE",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583681721",
            "telephone_number": "701-776-7676",
            "fax_number": "701-776-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S MAIN AVE",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583681721",
            "telephone_number": "701-776-7676",
            "fax_number": "701-776-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCABE FAMILY CHIROPRACTIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-776-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26471",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14321",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rugby, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.