NPIMap

Organization Active NPI

The Back Doctors of Concord

  • Chiropractor
  • Concord, CA
National Provider Identifier
1023131505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16845 Issued in CA
Legal business name
THE BACK DOCTORS OF CONCORD
Practice address
2975 Treat Blvd
A-2
Concord, CA 94518-3601
Phone
(925) 685-0335
Fax
(925) 685-8883
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip Jeffery Runco, D.C.NPI 1568456671
Title
President
Phone
(925) 685-0335

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 16845 CA Primary

Addresses

Primary practice location

2975 Treat Blvd
A-2
Concord, CA 94518-3601

Mailing address

2975 Treat Blvd
A-2
Concord, CA 94518-3601
Phone (925) 685-0335

National Provider Directory

National Provider Directory

Locations

2975 Treat Blvd
Ste A2
Concord, CA 94518
Phone (925) 685-0335

Practitioners & affiliated clinicians

Practitioners 3

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023131505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD",
            "address_2": "A-2",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183601",
            "telephone_number": "925-685-0335",
            "fax_number": "925-685-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD",
            "address_2": "A-2",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183601",
            "telephone_number": "925-685-0335",
            "fax_number": "925-685-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACK DOCTORS OF CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNCO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-685-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.