NPIMap

Organization Active NPI

Back & Neck Care Center, P.C.

Doing business as Missouri Spine Care

  • Multi-Specialty Clinic/Center
  • O'Fallon, MO
National Provider Identifier
1184731010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BACK & NECK CARE CENTER, P.C.
Doing business as
Missouri Spine Care
Practice address
2682 Babble Creek LN
O Fallon, MO 63368-8337
Phone
(636) 978-3000
Fax
(636) 978-1821
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew David Goodwin, D.C.NPI 1265562540
Title
Owner
Phone
(636) 978-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X MO Primary

Addresses

Primary practice location

2682 Babble Creek LN
O Fallon, MO 63368-8337

Mailing address

2682 Babble Creek LN
O Fallon, MO 63368-8337
Phone (636) 978-3000

Other names 1

  • Missouri Spine Care Doing business as

National Provider Directory

National Provider Directory

Locations

2728 Highway K
O Fallon, MO 63368
Phone (636) 978-3000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184731010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 BABBLE CREEK LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688337",
            "telephone_number": "636-978-3000",
            "fax_number": "636-978-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 BABBLE CREEK LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688337",
            "telephone_number": "636-978-3000",
            "fax_number": "636-978-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & NECK CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-978-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.