NPIMap

Organization Active NPI

Indiana Backtowellness

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1194262857
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002819A Issued in IN
Legal business name
INDIANA BACKTOWELLNESS
Doing business as
BacktoWellness
Practice address
238 Demarest Dr
Indianapolis, IN 46214-2930
Phone
(260) 440-9256
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Kaci Elizabeth Ruck-Chalfant
Title
Office Manager
Phone
(260) 440-9256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002819A IN Primary

Addresses

Primary practice location

238 Demarest Dr
Indianapolis, IN 46214-2930

Mailing address

238 Demarest Dr
Indianapolis, IN 46214-2930
Phone (260) 440-9256

Other names 1

  • BacktoWellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1194262857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 DEMAREST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142930",
            "telephone_number": "260-440-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 DEMAREST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142930",
            "telephone_number": "260-440-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA BACKTOWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "RUCK-CHALFANT",
        "authorized_official_first_name": "KACI",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-440-9256"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002819A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BacktoWellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.