The Back Doctor, L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

10685 Issued in TX

Legal business name

THE BACK DOCTOR, L.L.C.

Practice address

8302 Rockford Hall Dr
Spring, TX 77379-6759

Phone

(469) 235-4082

NPI assigned

Feb 1, 2008

Last updated

Feb 1, 2008By 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. Dianne Mallari, D.C.NPI 1659561991

Title

Chiropractor

Phone

(469) 235-4082

Specialties & licenses 1

Addresses

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.

• Dianne E Mallari, D.C.

  • Chiropractor
  • Topeka, KS
  • NPI 1659561991
  NPD (past) Authorized official

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1255519179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 SW 61ST ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 ROCKFORD HALL DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796759",
            "telephone_number": "469-235-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACK DOCTOR, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "469-235-4082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "10685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Spring, TX
• Providers in Spring, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.