Organization Active NPI

Back Talk Chiropractic PSC

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1306258488
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5249 Issued in KY
Legal business name
BACK TALK CHIROPRACTIC PSC
Practice address
1300 E New Circle Rd Ste 160
Lexington, KY 40505-4256
Phone
(859) 309-0377
Fax
(859) 309-0381
NPI assigned
May 23, 2014
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Dr. Tamera L Tolson, DC, DACBSPNPI 1912212523
Title
Owner
Phone
(859) 309-0377

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 5249 KY Primary

Addresses

Primary practice location

1300 E New Circle Rd Ste 160
Lexington, KY 40505-4256

Mailing address

1300 E New Circle Rd Ste 160
Lexington, KY 40505-4256
Phone (859) 309-0377

Other identifiers 5

IdentifierTypeStateIssuer
7100186170MedicaidKY
1136817OtherKYAMERICAN SPECIALTY HEALTH
000000722788OtherKYANTHEM
664895OtherKYWELLCARE OF KENTUCKY
K015320OtherKYMEDICARE

Other names 1

  • Back Talk Chiropractic, PSC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616002235 KY Part B Supplier - Clinic/Group Practice 1052535952 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1306258488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E NEW CIRCLE RD STE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054256",
            "telephone_number": "859-309-0377",
            "fax_number": "859-309-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E NEW CIRCLE RD STE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054256",
            "telephone_number": "859-309-0377",
            "fax_number": "859-309-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TALK CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "TOLSON",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-309-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACBSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100186170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1136817",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000722788",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF KENTUCKY",
            "identifier": "664895",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K015320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Talk Chiropractic, PSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.