NPIMap

Organization Active NPI

Robert J. Coolbaugh, DC, Dba Lubbock Accident and Injury Rehab

  • Clinic/Center
  • Lubbock, TX
National Provider Identifier
1639340110
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
F008104 Issued in TX
Legal business name
ROBERT J. COOLBAUGH, DC, DBA LUBBOCK ACCIDENT AND INJURY REHAB
Practice address
2318 50TH St
Lubbock, TX 79412-2502
Phone
(806) 780-1258
Fax
(806) 780-1261
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Robert J Coolbaugh, DC
Title
Owner
Phone
(806) 780-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X F008104 TX Primary

Addresses

Primary practice location

2318 50TH St
Lubbock, TX 79412-2502

Mailing address

2318 50TH St
Lubbock, TX 79412-2502
Phone (806) 780-1258

Other identifiers 1

IdentifierTypeStateIssuer
605947OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Coolbaugh Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1639340110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122502",
            "telephone_number": "806-780-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122502",
            "telephone_number": "806-780-1258",
            "fax_number": "806-780-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. COOLBAUGH, DC, DBA LUBBOCK ACCIDENT AND INJURY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COOLBAUGH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-780-1258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "F008104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "605947",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.