Active NPI
Cynthia Marie Kobusch, D.C.
- Chiropractor
- Dubuque, IA
National Provider Identifier
1700902194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AO5762
- Practice address
- 4655 Old Highway Rd
Dubuque, IA 52002 - Phone
- (563) 588-4730
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AO5762 | IA | Primary |
Addresses
Primary practice location
4655 Old Highway Rd
Dubuque, IA 52002
Mailing address
4655 Old Highway Rd
Dubuque, IA 52002
Phone (563) 588-4730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO5762 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1700902194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 OLD HIGHWAY RD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "52002",
"telephone_number": "563-588-4730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 OLD HIGHWAY RD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "52002",
"telephone_number": "563-588-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBUSCH",
"first_name": "CYNTHIA",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "AO5762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.