NPIMap

Organization Active NPI

Back to Health Chiropractic Alliance, LLC

  • Chiropractor
  • Klamath Falls, OR
National Provider Identifier
1235173196
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3071 Issued in OR
Legal business name
BACK TO HEALTH CHIROPRACTIC ALLIANCE, LLC
Practice address
621 Klamath Ave
Klamath Falls, OR 97601-6130
Phone
(541) 882-5602
Fax
(541) 882-5897
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Mr. Lawrence Robert Taylor, D.C.
Title
Owner/D.C.
Phone
(541) 882-5602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0600001738 OR
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3071 OR Primary

Addresses

Primary practice location

621 Klamath Ave
Klamath Falls, OR 97601-6130

Mailing address

621 Klamath Ave
Klamath Falls, OR 97601-6130
Phone (541) 882-5602

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1235173196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 KLAMATH AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016130",
            "telephone_number": "541-882-5602",
            "fax_number": "541-882-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KLAMATH AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016130",
            "telephone_number": "541-882-5602",
            "fax_number": "541-882-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/D.C.",
        "authorized_official_telephone_number": "541-882-5602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "0600001738",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.