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TOBE THACKER D.C.
NPI 1215396874
Chiropractor in Broken Bow, OK

Active since February 11, 2016PECOS Enrolled
1605 S PARK DR, BROKEN BOW, OK 74728(580) 584-3385(580) 584-5454 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2019, Feb 11, 2016 (2 updates tracked since 2016).

About Tobe Thacker D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOBE THACKER D.C. (NPI 1215396874) is an individual chiropractor in Broken Bow, Oklahoma, licensed in Idaho (CHIA-1704) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215396874
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTOBE THACKERCredential: D.C.
Location Address1605 S PARK DRBroken Bow, OK 74728-5724
Mailing Address1605 S Park DrBroken Bow, OK 74728-5724 · (580) 584-3385 · Fax (580) 584-5454
Phone(580) 584-3385
Fax(580) 584-5454
Sole ProprietorYes
Enumeration DateFebruary 11, 2016
Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration
✔ NPI 1215396874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in ID · CHIA-1704✔ Licensed in OK · 4336
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1605 S PARK DR, Broken Bow, OK 74728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tobe Thacker D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
378 services40 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
49 services11 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYES CHIROPRACTIC HEALTH CLINIC, P.C.
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385
A BETTER YOU HEALTHCARE CLINIC PLLC
Nurse Practitioner
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 316-3387
DR. KENNETH G ERICKSEN D.C.
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385
DR. DOUGLAS R HAYES DC
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385
TOBE THACKER
Chiropractor
1605 S PARK DR
BROKEN BOW, OK 74728
McCurtain County (580) 584-3385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tobe Thacker's NPI number?

The NPI number for Tobe Thacker is 1215396874. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Where is Tobe Thacker located?

Tobe Thacker practices at 1605 S Park Dr, Broken Bow, OK 74728. The listed phone number is (580) 584-3385.

What is Tobe Thacker's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tobe Thacker enrolled in Medicare?

Yes. Tobe Thacker is registered in the Medicare PECOS enrollment system.

What insurance does Tobe Thacker accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Tobe Thacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tobe Thacker was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.