Individual provider Active NPI

Connor Tobisch, DC

  • Chiropractor
  • Whitefish, MT
National Provider Identifier
1881349884
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-7410 Issued in MT
Practice address
5938 US Highway 93 S
Whitefish, MT 59937-8415
Phone
(406) 862-2121
Fax
(406) 863-9301
NPI assigned
Feb 17, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-7410 MT Primary

Addresses

Primary practice location

5938 US Highway 93 S
Whitefish, MT 59937-8415

Mailing address

5938 US Highway 93 S
Whitefish, MT 59937-8415
Phone (406) 862-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325001570 MT Practitioner - Chiropractic 0840685046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Whitefish Chiropractic Center P CGroup PAC ID 8426940255, 3 clinicians

Practice addresses (Care Compare)

144 2ND St W
Suite 1
Whitefish, MT 59937-3074
Phone (406) 862-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitefish Chiropractic Center PC CurrentSince Mar 15, 2022 Accepting new patients

Locations

500 12th Ave W
Columbia Falls, MT 59912
Phone (406) 257-2020

144 E 2nd St
#W1
Whitefish, MT 59937
Phone (406) 862-2121

5938 US Highway 93 S
Whitefish, MT 59937
Phone (406) 862-2121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1881349884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378415",
            "telephone_number": "406-862-2121",
            "fax_number": "406-863-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378415",
            "telephone_number": "406-862-2121",
            "fax_number": "406-863-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBISCH",
        "first_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-7410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.