Organization Active NPI

Back to Intelligent Design, LLC

Doing business as Disc Decompression of Delaware

  • Chiropractor
  • Claymont, DE
National Provider Identifier
1306960927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FL-0000557 Issued in DE
Legal business name
BACK TO INTELLIGENT DESIGN, LLC
Doing business as
Disc Decompression of Delaware
Practice address
1201 Society Dr
Claymont, DE 19703-1777
Phone
(302) 793-1006
Fax
(302) 793-1636
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia Anne Wendel, DCNPI 1871674325
Title
Partner
Phone
(302) 793-1006

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 FL-0000557 DE Primary

Addresses

Primary practice location

1201 Society Dr
Claymont, DE 19703-1777

Mailing address

1201 Society Dr
Claymont, DE 19703-1777
Phone (302) 793-1006

Other names 1

  • Disc Decompression of Delaware Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306960927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031777",
            "telephone_number": "302-793-1006",
            "fax_number": "302-793-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031777",
            "telephone_number": "302-793-1006",
            "fax_number": "302-793-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO INTELLIGENT DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "302-793-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "FL-0000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Disc Decompression of Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claymont, DE

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.