Colton Backhaus, DC, CSCS

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1453 Issued in SD

Practice address

1407 5TH Ave Ste 200
Belle Fourche, SD 57717-2052

Phone

(701) 426-4579

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Backhaus Chiropractic PLLC

  dba Belle Chiropractic

  • Clinic/Center
  • Belle Fourche, SD
  • NPI 1750106159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1356055693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 5TH AVE STE 200",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172052",
            "telephone_number": "701-426-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 5TH AVE STE 200",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172052",
            "telephone_number": "701-426-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKHAUS",
        "first_name": "COLTON",
        "credential": "DC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SD",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3 C Pharmacy Inc (Prairie Hills Pharmacy)
• Rylee Lynn Anderson, DC
• Kimberlee Ann-Marie Ashe
• Patricia Aurand, LCSW-PIP
• Backhaus Chiropractic PLLC (Belle Chiropractic)
• Lauren R Baumberger, DPT
• Belle Adult Day and Senior Services, LLC (Highland Adult Day Services)
• Belle Care
• Belle Drug, LLC
• Belle Fourche Counseling - LLC

• Sports Physician Chiropractor in Belle Fourche, SD
• Providers in Belle Fourche, SD by specialty
• Sports Physician Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.