Organization Active NPI

Back to Health Chiropractic Care

  • Chiropractor
  • Monterey, CA
National Provider Identifier
1033364195
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20658 Issued in CA
Legal business name
BACK TO HEALTH CHIROPRACTIC CARE
Practice address
1077 Cass St Ste C
Monterey, CA 93940-4551
Phone
(831) 373-5636
NPI assigned
Nov 17, 2008
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Dr. Greg Kelley, D.C.NPI 1821148834
Title
Owner
Phone
(831) 373-5636

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
Chiropractor 111N00000X 20658 CA Primary

Addresses

Primary practice location

1077 Cass St Ste C
Monterey, CA 93940-4551

Mailing address

1077 Cass St Ste C
Monterey, CA 93940-4551
Phone (831) 373-5636

Other identifiers 1

IdentifierTypeStateIssuer
DC0206580OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1077 Cass St
Ste C
Monterey, CA 93940
Phone (831) 373-5636

Practitioners & affiliated clinicians

Practitioners 1

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": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1033364195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 CASS ST STE C",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404551",
            "telephone_number": "831-373-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 CASS ST STE C",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404551",
            "telephone_number": "831-373-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-373-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0206580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.