Back Together Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015004019 Issued in MO

Legal business name

BACK TOGETHER CHIROPRACTIC, LLC

Practice address

4122 Keaton Crossing Blvd
Suite 105
O Fallon, MO 63368-8218

Phone

(636) 224-8130

NPI assigned

Jul 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lakendria Hawkins

Title

Chiropractor

Phone

(337) 315-4264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467590400000",
    "number": "1104278068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HARMONY VILLA WAY",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633762890",
            "telephone_number": "337-315-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 KEATON CROSSING BLVD",
            "address_2": "SUITE 105",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688218",
            "telephone_number": "636-224-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TOGETHER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LAKENDRIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "337-315-4264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babar Enterprises LLC
• Babar Enterprises LLC
• Babar Enterprises LLC
• Back & Neck Care Center, P.C.
• Back Pain Center LLC
• Jeanine M Badwan, PHARMD
• Jason Baechle, PHARMD
• Kristin D Bagby, MS
• Victor Beau Bailey, DO
• Balanced Health Center, LLC

• All providers in O Fallon, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.