Organization Active NPI

Cobler Chiropractic and Sports Rehab LLC

  • Chiropractor
  • Osage Beach, MO
National Provider Identifier
1477904605
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010033754 Issued in MO
Legal business name
COBLER CHIROPRACTIC AND SPORTS REHAB LLC
Practice address
3715 Osage Beach Pkwy
Suite 9
Osage Beach, MO 65065-8732
Phone
(573) 348-2649
NPI assigned
Jun 29, 2016
Last updated
Jul 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Wendy Aaron Ramboldt, D.C.NPI 1639415615
Title
Owner
Phone
(573) 348-2649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010033754 MO Primary

Addresses

Primary practice location

3715 Osage Beach Pkwy
Suite 9
Osage Beach, MO 65065-8732

Mailing address

3715 Osage Beach Pkwy
Suite 9
Osage Beach, MO 65065-8732
Phone (573) 348-2649

National Provider Directory

National Provider Directory

Locations

3715 Osage Beach Pkwy
Ste 9
Osage Beach, MO 65065
Phone (573) 348-2649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1477904605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 OSAGE BEACH PKWY",
            "address_2": "SUITE 9",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658732",
            "telephone_number": "573-348-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 OSAGE BEACH PKWY",
            "address_2": "SUITE 9",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658732",
            "telephone_number": "573-348-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBLER CHIROPRACTIC AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "RAMBOLDT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-348-2649",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010033754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.