Individual provider Active NPI

Darren B Obrey, D.C.

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1700825403
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006029722 Issued in MO
Practice address
1200 E Woodhurst Dr Ste R300
Springfield, MO 65804-4240
Phone
(417) 877-1300
Fax
(174) 877-1335
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006029722 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr Ste R300
Springfield, MO 65804-4240

Mailing address

211 N Main Ave
Bolivar, MO 65613-1519
Phone (417) 777-4848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000440 MO Practitioner - Chiropractic 5193757854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1185MTMDAddiction (Substance Use Disorder) Counselor
2006029722MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Concepts Clinic Chiropractor Current Accepting new patients
Wellness Concepts Clinic LLC Chiropractor CurrentSince Nov 4, 2020 Accepting new patients
Elite Chiropractic of Branson West LLC CurrentSince Dec 19, 2016 Accepting new patients
Tweedie Chiropractic LLC Chiropractor PastSince Oct 3, 2005 Accepting new patients
Obrey Chiropractic and Massage Chiropractor Past Accepting new patients
Reflex Chiropractic & Acupuncture, PC Chiropractor Past Accepting new patients
Art City Chiropractic Inc. Past Accepting new patients

Locations

108 Silver Lady Ln
Reeds Spring, MO 65737
Phone (417) 272-8484

1200 E Woodhurst Dr
Ste R300
Springfield, MO 65804
Phone (417) 877-1300

1200 E Woodhurst Dr
Ste M100
Springfield, MO 65804
Phone (417) 877-1300

Organizations & group practices 7

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1700825403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131519",
            "telephone_number": "417-777-4848",
            "fax_number": "417-777-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE R300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044240",
            "telephone_number": "417-877-1300",
            "fax_number": "174-877-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREY",
        "first_name": "DARREN",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006029722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.