Organization Active NPI

Neck & Back Care Center Inc

  • Chiropractor
  • Crystal River, FL
National Provider Identifier
1427230549
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007559 Issued in FL
Legal business name
NECK & BACK CARE CENTER INC
Practice address
912 NE 5TH St
Hwy 44
Crystal River, FL 34429-4444
Phone
(352) 563-5055
Fax
(352) 563-5069
NPI assigned
Nov 30, 2007
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Anthony B. Oliverio, D.C.NPI 1750303186
Title
Owner
Phone
(352) 563-5055

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
Chiropractor 111N00000X CH0007559 FL Primary

Addresses

Primary practice location

912 NE 5TH St
Hwy 44
Crystal River, FL 34429-4444

Mailing address

912 NE 5TH St
Hwy 44
Crystal River, FL 34429-4444
Phone (352) 563-5055

Other identifiers 3

IdentifierTypeStateIssuer
1750303186OtherFLNPI INDIVIDUAL
381129800MedicaidFL
55797OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000584 FL Part B Supplier - Clinic/Group Practice 6901982149 Receives reassigned benefits from 4 practitioners
Practice locations: Crystal River, FL

National Provider Directory

National Provider Directory

Locations

255 SE 7th Ave
Ste 3
Crystal River, FL 34429
Phone (352) 302-2223

912 NE 5th St
Crystal River, FL 34429
Phone (352) 563-5055

Practitioners & affiliated clinicians

Practitioners 5

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1427230549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NE 5TH ST",
            "address_2": "HWY 44",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294444",
            "telephone_number": "352-563-5055",
            "fax_number": "352-563-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NE 5TH ST",
            "address_2": "HWY 44",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294444",
            "telephone_number": "352-563-5055",
            "fax_number": "352-563-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK & BACK CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-563-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1750303186",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381129800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.