Rodney Vincent Kobliska, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06581 Issued in IA

Practice address

3641 Kimball Ave
Waterloo, IA 50702-5757

Phone

(319) 433-0475

Fax

(319) 883-8030

NPI assigned

Jul 5, 2005

Reactivated

Mar 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kobliska Chiropractic, PLC

  • Chiropractor
  • Waterloo, IA
  • NPI 1689856064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1477550598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FALLS AVE",
            "address_2": "STE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012302",
            "telephone_number": "319-433-0475",
            "fax_number": "319-883-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-433-0475",
            "fax_number": "319-883-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBLISKA",
        "first_name": "RODNEY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-01-05",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452763",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Joseph Knox, O.D.
• Amanda Marie Knudsen, ARNP
• Gary A Knudson, MD
• Megan Renee Knudtson, ATC
• Kobliska Chiropractic, PLC
• Brooke Ann Koch
• Merri Koch, REGISTERED NURSE
• Nichole Irene Koch
• Emma Koester, ARNP
• Abby Irene Kolthoff, ARNP

• Chiropractor in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.

Verify at the official NPI Registry.