Back Specialists, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK SPECIALISTS, LLC

Practice address

5109 S Crossing PL
Suite 1
Sioux Falls, SD 57108-5076

Phone

(605) 361-1700

Fax

(605) 361-0113

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Jon Hagen, D.C.NPI 1952494445

Title

Owner

Phone

(605) 361-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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.

• Bruce Jon Hagen, DC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1952494445
  Medicare reassignment Care Compare group Authorized official
• Sean Hagen, DC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1396563763
  Medicare reassignment Care Compare group NPD
• Justin H Wittmayer, DPT

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1467557934
  NPD (past)
• Joe Edward Horn, D.C.

  • Chiropractor
  • Vincennes, IN
  • NPI 1255668778
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1053776013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 S CROSSING PL",
            "address_2": "SUITE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085076",
            "telephone_number": "605-361-1700",
            "fax_number": "605-361-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 S CROSSING PL",
            "address_2": "SUITE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085076",
            "telephone_number": "605-361-1700",
            "fax_number": "605-361-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-361-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Babb
• J Michael Bacharach, MD
• Thekla Bacharach, M.D.
• Back in Action Chiropractic, PC
• Back Specialists of the Midwest LLC
• Austin Backer, PT
• Courtney Backer, M.D.
• Dawn Lynette Backer, CLVT
• Shannon Lynn Backstrom, CNP
• Ross Noel Bacon, M.D.

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.