NPIMap

Organization Active NPI

Back to Health P.C.

Doing business as Back to Health Chiropractic and Wellnes

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1003087164
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2216 Issued in TN
Legal business name
BACK TO HEALTH P.C.
Doing business as
Back to Health Chiropractic and Wellnes
Practice address
1617 W Market St Ste a
Johnson City, TN 37604-4903
Phone
(423) 975-0099
Fax
(423) 975-0996
NPI assigned
Mar 17, 2008
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Randy Craig Moze, DCNPI 1093888976
Title
President
Phone
(423) 975-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2216 TN Primary

Addresses

Primary practice location

1617 W Market St Ste a
Johnson City, TN 37604-4903

Mailing address

PO Box 3563
Johnson City, TN 37602-3563
Phone (423) 975-0099

Other names 1

  • Back to Health Chiropractic and Wellnes Doing business as

National Provider Directory

National Provider Directory

Locations

1617 W Market St
Ste A
Johnson City, TN 37604
Phone (423) 975-0099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1003087164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3563",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023563",
            "telephone_number": "423-975-0099",
            "fax_number": "423-975-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 W MARKET ST STE A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044903",
            "telephone_number": "423-975-0099",
            "fax_number": "423-975-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MOZE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-975-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Health Chiropractic and Wellnes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.