Active NPI
Natural Pain Back Institute, LLC
- General Practice Physician
- Aurora, IL
National Provider Identifier
1194197376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NATURAL PAIN BACK INSTITUTE, LLC
- Practice address
- 3535 E New York St
Suite 216
Aurora, IL 60504-4465 - Phone
- (662) 843-0076
- Fax
- (662) 846-7730
- NPI assigned
- Oct 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reginald Lamar Rodges, D.C.
- Title
- Ceo
- Phone
- (662) 843-0076
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | ||
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3535 E New York St
Suite 216
Aurora, IL 60504-4465
Mailing address
506 3Rd St
Cleveland, MS 38732-2362
Phone (662) 843-0076
Other names 1
- C/E Med Back Institute
National Provider Directory
National Provider Directory- Tax ID family
- Accutron Medical Wellness Testing Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internist Chiropractor
- Mound Bayou, MS
- NPI 1124474648
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Cleveland, MS
- NPI 1023455011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1194197376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 3RD ST",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322362",
"telephone_number": "662-843-0076",
"fax_number": "662-846-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 E NEW YORK ST",
"address_2": "SUITE 216",
"city": "AURORA",
"state": "IL",
"postal_code": "605044465",
"telephone_number": "662-843-0076",
"fax_number": "662-846-7730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURAL PAIN BACK INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "RODGES",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-843-0076",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "C/E Med Back Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.