Back to Health Acupuncture and Chiropractic Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4107 Issued in MN

Legal business name

BACK TO HEALTH ACUPUNCTURE AND CHIROPRACTIC CENTER, P.A.

Practice address

12 2ND Ave S
Sauk Rapids, MN 56379-1408

Phone

(320) 257-6008

Fax

(320) 257-6009

NPI assigned

Dec 14, 2006

Last updated

Sep 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremiah Bursch, D.C.NPI 1184783458

Title

President

Phone

(320) 257-6008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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.

• Jeremiah Luke Bursch, D.C.

  • Chiropractor
  • Sauk Rapids, MN
  • NPI 1184783458
  Medicare reassignment NPD Authorized official
• Stephanie Elaine Anderson-Smith, DC

  • Chiropractor
  • Sauk Rapids, MN
  • NPI 1538168687
  NPD
• Melissa M Loidolt, CHIROPRACTOR

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1750578563
  NPD (past)
• Christine Rose Schlenker, D.C.

  • Chiropractor
  • Milaca, MN
  • NPI 1003979865
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1043372204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 2ND AVE S",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791408",
            "telephone_number": "320-257-6008",
            "fax_number": "320-257-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 2ND AVE S",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791408",
            "telephone_number": "320-257-6008",
            "fax_number": "320-257-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH ACUPUNCTURE AND CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "BURSCH",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-257-6008",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "831S1BA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahro Omar Ali
• Stephanie Elaine Anderson-Smith, DC
• Apria Healthcare LLC
• Rebecca Asplin
• Masoud Attar, DDS
• Emily Courine Beckers, LSW
• Bella Transportation LLC
• Bonnie Berg, LICSW
• Pamela Berglund
• Beyond Care LLC

• Chiropractor in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.