Gainesville Back and Neck Pain Relief Chiropractic,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GAINESVILLE BACK AND NECK PAIN RELIEF CHIROPRACTIC,LLC

Practice address

4509 NW 23Rd Ave Ste 6
Gainesville, FL 32606-6570

Phone

(352) 377-5158

Fax

(888) 871-3404

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Wilmot Barger, DCNPI 1083619324

Title

Owner

Phone

(513) 317-8698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Shannon Wilmot Barger, DC

  • Chiropractor
  • Gainesville, FL
  • NPI 1083619324
  Medicare reassignment NPD Authorized official
• Randy J. Fearing, D.C.

  • Chiropractor
  • Gainesville, FL
  • NPI 1104806579
  Medicare reassignment NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1457977449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 NW 23RD AVE STE 6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066570",
            "telephone_number": "352-377-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 NW 23RD AVE STE 6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066570",
            "telephone_number": "352-377-5158",
            "fax_number": "888-871-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE BACK AND NECK PAIN RELIEF CHIROPRACTIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "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": "513-317-8698",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gainesville Audiology, Inc.
• Gainesville Chiropractic, Inc
• Gainesville Community Counseling Center
• Gainesville Community Ministry
• Gainesville Council on Aging Inc
• Gainesville Counseling Center LLC

• Chiropractor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.