Active NPI
Christopher Lewis Kobe, D.C.
- Chiropractor
- Shasta Lake, CA
National Provider Identifier
1912931197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16454
- Practice address
- 4221 Shasta Dam Blvd
Shasta Lake, CA 96019-9423 - Phone
- (530) 275-1585
- Fax
- (530) 275-8662
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- 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 | 16454 | CA | Primary |
Addresses
Primary practice location
4221 Shasta Dam Blvd
Shasta Lake, CA 96019-9423
Mailing address
PO Box 776
Shasta Lake, CA 96019-0776
Phone (530) 275-1585
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568496743 | Other | CA | PARTNER KAY KOBE DC NPI |
| DC0164540 | Medicaid | CA | |
| ZZZ27906Z | Other | CA | GROUP MEDICARE |
| 1235152364 | Other | CA | GROUP NPI |
| ZZZ08124Z | Other | CA | BLUE SHIELD/CROSS GROUP# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4221 Shasta Dam Blvd
Shasta Lake, CA 96019-9423
Phone (530) 275-1585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Lake Chiropractic | Chiropractor | Current | Accepting new patients |
| Kay Kobe DC | Chiropractor | Past | Accepting new patients |
Locations
4221 Shasta Dam Blvd
Shasta Lake, CA 96019
Phone (530) 275-1585
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.
-
- Chiropractor
- Shasta Lake, CA
- NPI 1235152364
-
- Chiropractor
- Shasta Lake, CA
- NPI 1043784952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1912931197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776",
"city": "SHASTA LAKE",
"state": "CA",
"postal_code": "960190776",
"telephone_number": "530-275-1585",
"fax_number": "530-275-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 SHASTA DAM BLVD",
"city": "SHASTA LAKE",
"state": "CA",
"postal_code": "960199423",
"telephone_number": "530-275-1585",
"fax_number": "530-275-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBE",
"first_name": "CHRISTOPHER",
"middle_name": "LEWIS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNER KAY KOBE DC NPI",
"identifier": "1568496743",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0164540",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "ZZZ27906Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1235152364",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD/CROSS GROUP#",
"identifier": "ZZZ08124Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shasta Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.