Organization Active NPI

Back on Track Chiropractic & Acupuncture LLC

Doing business as Back On Track Chiropractic & Acupuncture

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1003469529
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK ON TRACK CHIROPRACTIC & ACUPUNCTURE LLC
Doing business as
Back On Track Chiropractic & Acupuncture
Practice address
9904 College Blvd
Overland Park, KS 66210-1756
Phone
(913) 276-0508
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Dr. Callan Aaron Martin, DCNPI 1033414099
Title
Director
Phone
(641) 919-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9904 College Blvd
Overland Park, KS 66210-1756

Mailing address

PO Box 26202
Overland Park, KS 66225-6202
Phone (641) 919-4949

Other names 1

  • Back On Track Chiropractic & Acupuncture Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190926002091 KS Part B Supplier - Clinic/Group Practice 4385974815 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

9904 College Blvd
Overland Park, KS 66210
Phone (913) 276-0508

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": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1003469529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662256202",
            "telephone_number": "641-919-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101756",
            "telephone_number": "913-276-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK CHIROPRACTIC & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CALLAN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-919-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back On Track Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.