Active NPI
Back to Health Chiropractic, PC
- Chiropractor
- Lawrenceburg, IN
National Provider Identifier
1407952948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 51000234A
- 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
-
Gary W Leake, D.C.
-
Carleen Renee May, MPT
-
Jay S Korsen, DC
National Provider Directory
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 51000234A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200178820 A | Medicaid | IN |
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.