Organization Active NPI

Back to Health Chiropractic, PC

  • Chiropractor
  • Lawrenceburg, IN
National Provider Identifier
1407952948
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
51000234A Issued in IN
Legal business name
BACK TO HEALTH CHIROPRACTIC, PC
Practice address
146 Walnut St
Lawrenceburg, IN 47025-1892
Phone
(812) 537-7777
Fax
(888) 871-3404
NPI assigned
Sep 15, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Shannon Wilmot Barger, DC
Title
Owner
Phone
(812) 537-7777

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 51000234A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

146 Walnut St
Lawrenceburg, IN 47025-1892

Mailing address

146 Walnut St
Lawrenceburg, IN 47025-1892
Phone (812) 537-7777

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200178820 AMedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2015.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1407952948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251892",
            "telephone_number": "812-537-7777",
            "fax_number": "888-871-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251892",
            "telephone_number": "812-537-7777",
            "fax_number": "888-871-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "BARGER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "WILMOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-537-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "51000234A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200178820 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.