Kobliska Chiropractic, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06581 Issued in IA

Legal business name

KOBLISKA CHIROPRACTIC, PLC

Practice address

3641 Kimball Ave
Waterloo, IA 50702-5757

Phone

(319) 433-0475

Fax

(319) 226-3615

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Kobliska, DCNPI 1477550598

Title

Owner

Phone

(319) 433-0475

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Rodney Vincent Kobliska, D.C.

  • Chiropractor
  • Waterloo, IA
  • NPI 1477550598
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1689856064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025757",
            "telephone_number": "319-433-0475",
            "fax_number": "319-226-3615"
        },
        {
            "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": "319-226-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBLISKA CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "KOBLISKA",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-433-0475",
        "authorized_official_credential": "DC"
    },
    "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": []
}

• Knox Eyecare
• Bradley Joseph Knox, O.D.
• Amanda Marie Knudsen, ARNP
• Gary A Knudson, MD
• Megan Renee Knudtson, ATC
• Rodney Vincent Kobliska, D.C.
• Brooke Ann Koch
• Merri Koch, REGISTERED NURSE
• Nichole Irene Koch
• Emma Koester, 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 Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.