Individual provider Active NPI

Leann Kaye Cobler, DC

  • Chiropractor
  • Fon Du Lac, WI
National Provider Identifier
1801975404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3126012 Issued in WI
Practice address
924 Forest Ave
Ste 101
Fon Du Lac, WI 54935
Phone
(920) 921-4130
Fax
(920) 921-4331
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3126012 WI Primary

Addresses

Primary practice location

924 Forest Ave
Ste 101
Fon Du Lac, WI 54935

Mailing address

924 Forest Ave
Ste 101
Fon Du Lac, WI 54935
Phone (920) 921-4130

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

LicenseStateTypeSpecialty
3126012WIMDChiropractor
3126WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Chiropractor Past Accepting new patients
Wink Chiropractic Wellness Center, SC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801975404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 FOREST AVE",
            "address_2": "STE 101",
            "city": "FON DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-921-4130",
            "fax_number": "920-921-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FOREST AVE",
            "address_2": "STE 101",
            "city": "FON DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-921-4130",
            "fax_number": "920-921-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLER",
        "first_name": "LEANN",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3126012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fon Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.