Individual provider Active NPI

Steven Carl Obert, DC

  • Chiropractor
  • Osceola, IN
National Provider Identifier
1932377447
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001423 Issued in IN
Practice address
5432 Lincolnway E
Osceola, IN 46561-1960
Phone
(574) 679-0100
Fax
(574) 675-9586
NPI assigned
Feb 19, 2008
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001423 IN Primary

Addresses

Primary practice location

5432 Lincolnway E
Osceola, IN 46561-1960

Mailing address

5432 Lincolnway E
Osceola, IN 46561-1960
Phone (574) 679-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000512 IN Practitioner - Chiropractic 1254415946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinalign PCGroup PAC ID 2365470994, 2 clinicians

Practice addresses (Care Compare)

5432 Lincolnway E
Osceola, IN 46561-1960
Phone (574) 679-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001423INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Health Centers, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Indiana Health Centers Inc CurrentSince Jan 5, 2022 Accepting new patients
3D Scoliosis Brace, LLC PastSince Oct 1, 2017 Accepting new patients

Locations

1010 N Bendix Dr
South Bend, IN 46628
Phone (574) 245-4980

765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990

Organizations & group practices 4

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1932377447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY E",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611960",
            "telephone_number": "574-679-0100",
            "fax_number": "574-675-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY E",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611960",
            "telephone_number": "574-679-0100",
            "fax_number": "574-675-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERT",
        "first_name": "STEVEN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.