Back to Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR6229 Issued in CO

Legal business name

BACK TO WELLNESS

Doing business as

Derry Chiropractic

Practice address

12919 Stroh Ranch CT
Unit B
Parker, CO 80134-7707

Phone

(720) 851-2475

Fax

(720) 851-2476

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Derry, D.C.NPI 1124294921

Title

Managing Member

Phone

(720) 851-2475

Specialties & licenses 2

Addresses

Other names 1

• Derry Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Thomas Derry, D.C.

  • Chiropractor
  • Parker, CO
  • NPI 1124294921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1144497785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 STROH RANCH CT",
            "address_2": "UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347707",
            "telephone_number": "720-851-2475",
            "fax_number": "720-851-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12919 STROH RANCH CT",
            "address_2": "UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347707",
            "telephone_number": "720-851-2475",
            "fax_number": "720-851-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DERRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "720-851-2475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR6229",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR6219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derry Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blake Dewayne Babcock, M.D.
• Josephine Baca
• Ian Sebastian Bach, MD
• Jennifer Evelyn Bach, RN
• Annette Miriam Bachrach, M.A., CCC-SLP
• John Paul Baer, PHARMD
• Jacob W Bailey, LPC, CAS
• Beverly Baker-Newsholme, N.P.
• Cassidy Rae Baker, M.S., CCC-SLP
• Heather Baker, CCC-SLP

• Chiropractor in Parker, CO
• Providers in Parker, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.