Back on Track Chiropractic Wellness PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BACK ON TRACK CHIROPRACTIC WELLNESS PLLC

Practice address

501 SW Wilshire Blvd Ste B
Burleson, TX 76028-5334

Phone

(817) 295-7444

Fax

(682) 841-1443

NPI assigned

Apr 13, 2021

Organization subpart

No

Name

Keith Raber, DCNPI 1649423203

Title

Doctor of Chiropractic

Phone

(817) 295-7444

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

• Keith Allen Raber, DC

  • Chiropractor
  • Burleson, TX
  • NPI 1649423203
  NPD Authorized official
• Shawnda Hennesay Camp, D.C.

  • Chiropractor
  • Breckenridge, TX
  • NPI 1649377789
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2021.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1215517263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SW WILSHIRE BLVD STE B",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285334",
            "telephone_number": "817-295-7444",
            "fax_number": "682-841-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW WILSHIRE BLVD STE B",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285334",
            "telephone_number": "817-295-7444",
            "fax_number": "682-841-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK CHIROPRACTIC WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "RABER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "817-295-7444",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adibeh W Awaida, DO
• Chinwendu Awaraka, PHARM.D.
• Dereje Ayo, M.D.
• Tawaina Azimi
• B C Counseling Center, PLLC
• Patricia Ruth Bahr, CRNA
• Michaela Bain, MS, LPC
• Baird Pediatrics PLLC
• Lily May Fabriga Bajamunde, APRN
• Brett Baker, CRNA

• All providers in Burleson, TX
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.