Organization Active NPI

Back to Health Chiropractic PSC

  • Chiropractor
  • Florence, KY
National Provider Identifier
1053746545
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4250 Issued in KY
Legal business name
BACK TO HEALTH CHIROPRACTIC PSC
Practice address
8178 Mall Rd
Florence, KY 41042-1414
Phone
(859) 746-2222
Fax
(859) 746-2131
NPI assigned
Sep 4, 2013
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Vincent Tomar, D.C.NPI 1457383184
Title
President
Phone
(859) 746-2222

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 4250 KY Primary

Addresses

Primary practice location

8178 Mall Rd
Florence, KY 41042-1414

Mailing address

8178 Mall Rd
Florence, KY 41042-1414
Phone (859) 746-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131002000063 KY Part B Supplier - Clinic/Group Practice 3274767413 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, KY

National Provider Directory

National Provider Directory

Locations

8178 Mall Rd
Florence, KY 41042
Phone (859) 746-2222

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": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1053746545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8178 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421414",
            "telephone_number": "859-746-2222",
            "fax_number": "859-746-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8178 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421414",
            "telephone_number": "859-746-2222",
            "fax_number": "859-746-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "TOMAR",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-746-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.