Back in Line Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05269 Issued in KS

Legal business name

BACK IN LINE CHIROPRACTIC LLC

Practice address

307 Ridge St
Suite 104
Tonganoxie, KS 66086-9304

Phone

(913) 845-9000

NPI assigned

Jul 15, 2009

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy David Delaney, D.C.

Title

Owner

Phone

(913) 845-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1447480231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 RIDGE ST",
            "address_2": "SUITE 104",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869304",
            "telephone_number": "913-845-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 RIDGE ST",
            "address_2": "SUITE 104",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869304",
            "telephone_number": "913-845-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN LINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-845-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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