Back to It Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2965 Issued in MN

Legal business name

BACK TO IT CHIROPRACTIC PLLC

Practice address

2780 Snelling Ave N
Suite 301
Roseville, MN 55113-7115

Phone

(651) 633-9667

Fax

(651) 633-4203

NPI assigned

Feb 2, 2010

Last updated

Feb 20, 2012By 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. Mark E Quandt, D.C.NPI 1558428250

Title

Owner

Phone

(651) 633-9667

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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.

• Mark E. Quandt, D.C.

  • Chiropractor
  • Roseville, MN
  • NPI 1558428250
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Mark Beilby, D.C.

  • Chiropractor
  • Arden Hills, MN
  • NPI 1700019247
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1336471390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "SUITE 301",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-9667",
            "fax_number": "651-633-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SNELLING AVE N",
            "address_2": "SUITE 301",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551137115",
            "telephone_number": "651-633-9667",
            "fax_number": "651-633-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO IT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "QUANDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-633-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615023300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assefa Ayalew
• Tegist Ayalew, FNP
• Michelle Aytay
• Amanjit Singh Baadh, M.D.
• Andrew Thomas Babcock, M.D.
• Brent A Baldwin, M.D.
• Matthew T Baldwin, MD
• Kristine Marie Balsimo, MPT
• Jodi L Bancks
• Bandana Chiropractic & Wellness Center PA

• Chiropractor in Roseville, MN
• Providers in Roseville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.