Organization Active NPI

Coberly Chiropractic, Inc.

  • Chiropractor
  • Loveland, CO
National Provider Identifier
1831166834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4519 Issued in CO
Legal business name
COBERLY CHIROPRACTIC, INC.
Practice address
3780 N Garfield Ave
Suite G
Loveland, CO 80538-2233
Phone
(970) 203-0621
NPI assigned
Mar 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Guy C. Coberly, D.C., C.C.E.P.NPI 1194839803
Title
Owner
Phone
(970) 203-0621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4519 CO Primary

Addresses

Primary practice location

3780 N Garfield Ave
Suite G
Loveland, CO 80538-2233

Mailing address

3780 N Garfield Ave
Suite G
Loveland, CO 80538-2233
Phone (970) 203-0621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071103000151 CO Part B Supplier - Clinic/Group Practice 8325135551 Receives reassigned benefits from 1 practitioner
Practice locations: Loveland, CO

National Provider Directory

National Provider Directory

Locations

3025 Taft Ave
Ste A
Loveland, CO 80538
Phone (970) 203-0621

3780 N Garfield Ave
Ste G
Loveland, CO 80538
Phone (970) 203-0621

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831166834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 N GARFIELD AVE",
            "address_2": "SUITE G",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382233",
            "telephone_number": "970-203-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 N GARFIELD AVE",
            "address_2": "SUITE G",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382233",
            "telephone_number": "970-203-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBERLY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBERLY",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-203-0621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.E.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.