Individual provider Active NPI

Vicki Lynn Dobbs, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1598834103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
OH-2112 Issued in OH
Practice address
11867 Mason Montgomery Rd
Cincinnati, OH 45249-4712
Phone
(513) 677-2200
Fax
(513) 677-2369
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OH-2112 OH Primary

Addresses

Primary practice location

11867 Mason Montgomery Rd
Cincinnati, OH 45249-4712

Mailing address

11867 Mason Montgomery Rd
Cincinnati, OH 45249-4712
Phone (513) 677-2200

Other identifiers 1

IdentifierTypeStateIssuer
0205503MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000000 OH Practitioner - Chiropractic 2961483094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Dr Mark a Korchok DC IncGroup PAC ID 5294811964, 2 clinicians

Practice addresses (Care Compare)

11867 Mason Montgomery Rd
Cincinnati, OH 45249-4712
Phone (513) 677-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH-2112OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark a Korchok DC Inc CurrentSince Jan 1, 2008 Accepting new patients

Locations

11867 Mason Rd
Cincinnati, OH 45249
Phone (513) 677-2200

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598834103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11867 MASON MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452494712",
            "telephone_number": "513-677-2200",
            "fax_number": "513-677-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11867 MASON MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452494712",
            "telephone_number": "513-677-2200",
            "fax_number": "513-677-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH-2112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

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.

Verify at the official NPI Registry.