Back to Life Natural Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3691 Issued in MN

Legal business name

BACK TO LIFE NATURAL HEALTH CENTER

Practice address

2960 Winnetka Ave N
Suite 110
Crystal, MN 55427

Phone

(763) 546-3736

Fax

(763) 546-3807

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By 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

Ronald Denis Ledoux, DCNPI 1114147667

Title

Owner/President

Phone

(763) 546-3736

Specialties & licenses 1

Addresses

Locations

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.

• Ronald Denis Ledoux, D.C.

  • Nutrition Chiropractor
  • Fridley, MN
  • NPI 1114147667
  NPD (past) Authorized official

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1073821260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 WINNETKA AVE N",
            "address_2": "SUITE 110",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-546-3736",
            "fax_number": "763-546-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 WINNETKA AVE N",
            "address_2": "SUITE 110",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-546-3736",
            "fax_number": "763-546-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO LIFE NATURAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "LEDOUX",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DENIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "763-546-3736",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ashton
• Aspirations Family Services, LLP
• Aspire Network Inc Professional Service Corporation Aspire Network
• Azure Ride
• Risa Bache-Wiig, MD
• Ofer Barniv, PAC
• Kristine Barrett
• Bass Lake Chiropractic Clinic, P.a.
• Allyson Bauer, MPS, LADC, LPCC
• Colleen Noel Bayer, MA

• Chiropractor in Crystal, MN
• Providers in Crystal, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.