Back Country Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK COUNTRY CHIROPRACTIC INC.

Practice address

10815 W Jewell Ave Ste P
Lakewood, CO 80232-6268

Phone

(303) 980-1378

Fax

(303) 980-1379

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Garry A Warner, D.C. FIAMA

Title

Owner

Phone

(303) 980-1378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kyle Samuel Warner

  • Chiropractor
  • Lakewood, CO
  • NPI 1194280628
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1417138694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 W JEWELL AVE STE P",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326268",
            "telephone_number": "303-980-1378",
            "fax_number": "303-980-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W JEWELL AVE STE P",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326268",
            "telephone_number": "303-980-1378",
            "fax_number": "303-980-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK COUNTRY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-980-1378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "COB4074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B&G Beauty Company LLC
• Khatantuul Baatarsukh, LMT
• Cynthia Louise Babb, RN, BSN
• Ashley Nichole Babjack, MA LPC
• Daniel Bach, DPT
• Bianca Badaro, D.M.D.
• Caitlin Bader, LPCC
• Ella Elizabeth Baggett, OTD R/L
• Mehdi Bagheri Toulabi, DMD
• Leslie Ann Bagley, PT

• Chiropractor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.