Back North Chiropractic Care PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006-0001138 Issued in VT

Legal business name

BACK NORTH CHIROPRACTIC CARE PLC

Doing business as

Back North Chiropractic Care

Practice address

1127 North Ave
Ste 21
Burlington, VT 05401-2756

Phone

(802) 652-0015

Fax

(802) 652-0016

NPI assigned

Jun 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel S Weber, D.C.NPI 1669477188

Title

Owner/Member

Phone

(802) 652-0015

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Back North Chiropractic Care Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

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.

• Daniel S Weber, D.C.

  • Chiropractor
  • Burlington, VT
  • NPI 1669477188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225034754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 NORTH AVE",
            "address_2": "STE 21",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012756",
            "telephone_number": "802-652-0015",
            "fax_number": "802-652-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 NORTH AVE",
            "address_2": "STE 21",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054012756",
            "telephone_number": "802-652-0015",
            "fax_number": "802-652-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK NORTH CHIROPRACTIC CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "802-652-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4352646",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "98L1880",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT",
            "identifier": "BACK68321",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3537",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back North Chiropractic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramasubramanian Baalachandran
• Georgia Ann Mary Babb
• Jeanette Bacevius, LCMHC
• Ashley Bachand
• Molly Bachman, PHARMD
• Madeline Bacon
• Cassandra Badeau, MA
• Jessica Badlam, MD
• John Baekey
• Diana Bailey, LICSW

• Chiropractor in Burlington, VT
• Providers in Burlington, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.