Organization Active NPI

Back2Health, LLC

  • Chiropractor
  • Vincennes, IN
National Provider Identifier
1215050695
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK2HEALTH, LLC
Practice address
1830 Hart St
Vincennes, IN 47591-5505
Phone
(812) 882-1241
Fax
(812) 882-1244
NPI assigned
Apr 9, 2007
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Richard Allen Snider, D.O.NPI 1699756528
Title
Ownerdoctor
Phone
(812) 882-1241

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1830 Hart St
Vincennes, IN 47591-5505

Mailing address

1830 Hart St
PO Box 751
Vincennes, IN 47591-5505
Phone (812) 882-1241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000407 IN Part B Supplier - Clinic/Group Practice 1456376912 Receives reassigned benefits from 3 practitioners
Practice locations: Vincennes, IN

National Provider Directory

National Provider Directory

Locations

1830 Hart St
Vincennes, IN 47591
Phone (812) 882-1241

Practitioners & affiliated clinicians

Practitioners 5

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1215050695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HART ST",
            "address_2": "PO BOX 751",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915505",
            "telephone_number": "812-882-1241",
            "fax_number": "812-882-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HART ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915505",
            "telephone_number": "812-882-1241",
            "fax_number": "812-882-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK2HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNERDOCTOR",
        "authorized_official_telephone_number": "812-882-1241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.