Organization Active NPI

O My-Back,Inc

  • Chiropractor
  • Miles City, MT
National Provider Identifier
1194942987
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
541 Issued in MT
Legal business name
O MY-BACK,INC
Practice address
511 Main St
Miles City, MT 59301-3018
Phone
(406) 234-2964
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Kenneth P Stein, CCSPNPI 1801965538
Title
Owner
Phone
(406) 234-2964

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 541 MT Primary

Addresses

Primary practice location

511 Main St
Miles City, MT 59301-3018

Mailing address

511 Main St
Miles City, MT 59301-3018
Phone (406) 234-2964

Other names 1

  • Stein Chiropractic and Sports Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001583 MT Part B Supplier - Clinic/Group Practice 4486647567 Receives reassigned benefits from 1 practitioner
Practice locations: Miles City, MT

National Provider Directory

National Provider Directory

Locations

511 Main St
Miles City, MT 59301
Phone (406) 232-6115

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1194942987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013018",
            "telephone_number": "406-234-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013018",
            "telephone_number": "406-234-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O MY-BACK,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-234-2964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stein Chiropractic and Sports Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.