Organization Active NPI

Back to Health Wellness Center, LLC

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1356531404
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4322 Issued in CO
Legal business name
BACK TO HEALTH WELLNESS CENTER, LLC
Practice address
755 North Ave
Ste B
Grand Junction, CO 81501-3152
Phone
(970) 257-9199
Fax
(970) 257-1880
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Daniel Lonquist, D.C.NPI 1811972508
Title
Managing Owner
Phone
(970) 257-9199

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4322 CO Primary

Addresses

Primary practice location

755 North Ave
Ste B
Grand Junction, CO 81501-3152

Mailing address

755 North Ave
Ste B
Grand Junction, CO 81501-3152
Phone (970) 257-9199

National Provider Directory

National Provider Directory

Locations

755 North Ave
Ste B
Grand Junction, CO 81501
Phone (970) 248-9393

Practitioners & affiliated clinicians

Practitioners 3

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1356531404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NORTH AVE",
            "address_2": "STE B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013152",
            "telephone_number": "970-257-9199",
            "fax_number": "970-257-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORTH AVE",
            "address_2": "STE B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013152",
            "telephone_number": "970-257-9199",
            "fax_number": "970-257-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "LONQUIST",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "970-257-9199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.