Organization Active NPI

Michael D Tobey DC PC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1609109057
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2112 Issued in OR
Legal business name
MICHAEL D TOBEY DC PC
Practice address
528 NE Greenwood Ave
Bend, OR 97701-4611
Phone
(541) 383-2185
Fax
(541) 388-2606
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Michael D Tobey, DC PC
Title
Owner
Phone
(541) 383-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2112 OR Primary

Addresses

Primary practice location

528 NE Greenwood Ave
Bend, OR 97701-4611

Mailing address

528 NE Greenwood Ave
Bend, OR 97701-4611
Phone (541) 383-2185

Other identifiers 1

IdentifierTypeStateIssuer
R0000QGCGBOtherORMEDICARE PTIN

National Provider Directory

National Provider Directory

Locations

595 SW Bluff Dr
Bend, OR 97702
Phone (541) 383-2185

595 SW Bluff Dr
Ste A
Bend, OR 97702
Phone (541) 383-2185

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1609109057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014611",
            "telephone_number": "541-383-2185",
            "fax_number": "541-388-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NE GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014611",
            "telephone_number": "541-383-2185",
            "fax_number": "541-388-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D TOBEY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-383-2185",
        "authorized_official_credential": "DC PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "R0000QGCGB",
            "state": "OR"
        }
    ],
    "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 Dec 14, 2018; 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.