Back in Motion Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05449 Issued in IA

Legal business name

BACK IN MOTION CHIROPRACTIC LLC

Practice address

2835 University Ave
Waterloo, IA 50701-3335

Phone

(319) 233-6673

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Jay Smith, D.C.NPI 1164571451

Title

Owner

Phone

(319) 233-6673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy J Smith, DC

  • Chiropractor
  • Traer, IA
  • NPI 1164571451
  NPD (past) Authorized official
• Ashley Lyn Reid, D.C.

  • Chiropractor
  • Waterloo, IA
  • NPI 1972950699
  NPD (past)
• Steven William Hanus, D.C.

  • Chiropractor
  • Desoto, TX
  • NPI 1578582276
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1104287069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 HARBIN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019745",
            "telephone_number": "319-233-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013335",
            "telephone_number": "319-233-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN MOTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-233-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070748",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Azar
• Ali Aziz, M.D.
• Addikin Baatz
• Igor Babets, MD
• Mirela Bacevac, MD
• Eduardo Badillo Colberg, DPM
• Justin Bagby
• Esther Bahlmann, NP
• Rasmira Bajramovic, OTR/L
• Kailey Bak, DC

• Chiropractor in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.