Bob G. Nesiba, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CR430 Issued in ME

Practice address

150 Bucksport Rd
Ellsworth, ME 04605-2224

Phone

(207) 667-4678

Fax

(207) 843-6059

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Chiropractic and Wellness

  dba nesiba mattson chiropractic and wellness

  • Chiropractor
  • Ellsworth, ME
  • NPI 1922540301
  NPD (past)
• Bibc, Inc

  dba Back in Balance Chiropractic

  • Physical Medicine & Rehabilitation Physician
  • Bangor, ME
  • NPI 1902956402
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881709277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052224",
            "telephone_number": "207-667-4678",
            "fax_number": "207-843-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUCKSPORT RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052224",
            "telephone_number": "207-667-4678",
            "fax_number": "207-843-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESIBA",
        "first_name": "BOB",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "ME",
            "license": "CR430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Murphy, LADC
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• Stephen H Nightingale, M.D.

• Orthopedic Chiropractor in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Orthopedic Chiropractor in Maine

• 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.