Individual provider Active NPI

Christopher Lewis Kobe, D.C.

  • Chiropractor
  • Shasta Lake, CA
National Provider Identifier
1912931197
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16454 Issued in CA
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

Updated by the provider on Oct 11, 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 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

IdentifierTypeStateIssuer
1568496743OtherCAPARTNER KAY KOBE DC NPI
DC0164540MedicaidCA
ZZZ27906ZOtherCAGROUP MEDICARE
1235152364OtherCAGROUP NPI
ZZZ08124ZOtherCABLUE SHIELD/CROSS GROUP#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000882 CA Practitioner - Chiropractic 2466342191 Reassigns benefits to 1 organization

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
Shasta Lake ChiropracticGroup PAC ID 8921998832, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Shasta Lake Chiropractic Chiropractor CurrentSince May 1, 1989 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.

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.

Verify at the official NPI Registry.