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SHASTA LAKE CHIROPRACTIC
NPI 1235152364
Chiropractor in Shasta Lake, CA

Active since July 26, 2006
4221 SHASTA DAM BLVD, SHASTA LAKE, CA 96019(530) 275-1585(530) 275-8662 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shasta Lake Chiropractic NPPES

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

SHASTA LAKE CHIROPRACTIC (NPI 1235152364) is a healthcare organization registered as a chiropractor in Shasta Lake, California and active in the NPI registry since July 2006. The organization lists Kay E Kobe, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1235152364
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHASTA LAKE CHIROPRACTIC
Location Address4221 SHASTA DAM BLVDShasta Lake, CA 96019-9423
Mailing AddressPo Box 776Shasta Lake, CA 96019-0776 · (530) 275-1585 · Fax (530) 275-8662
Phone(530) 275-1585
Fax(530) 275-8662
Organization SubpartNo
Authorized OfficialKay E KobeOwner/partner · (530) 275-1585
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 11, 2007
✔ NPI 1235152364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 16454
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.
4221 SHASTA DAM BLVD, Shasta Lake, CA 96019
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Other Identifiers 6

Other1568496743CA · Kay Kobe, Dc Npi
OtherDC0174570CA · Kay Kobe, Dc Pin
Medicare ID-Type UnspecifiedZZZ27906ZCA · Medicare #
MedicaidGDC000270CA
Other1912931197CA · Chris Kobe, Dc Npi
OtherDC0164540CA · Chris Kobe, Dc Pin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shasta Lake Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shasta Lake Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Christopher Kobe, D.C.
Chiropractic
NPI 1912931197
4221 SHASTA DAM BLVD
Shasta Lake, CA 96019
(530) 275-1585
✔ Accepts Medicare0.1 mi
Kay Kobe, D.C.
Chiropractic
NPI 1568496743
4221 SHASTA DAM BLVD
Shasta Lake, CA 96019
(530) 275-1585
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shasta Lake Chiropractic's NPI number?

The NPI number for Shasta Lake Chiropractic is 1235152364. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Shasta Lake Chiropractic located?

Shasta Lake Chiropractic is located at 4221 Shasta Dam Blvd, Shasta Lake, CA 96019. The listed phone number is (530) 275-1585.

What is Shasta Lake Chiropractic's specialty?

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

Is Shasta Lake Chiropractic enrolled in Medicare?

Yes. Shasta Lake Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shasta Lake Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Shasta Lake Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shasta Lake Chiropractic was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.