Back to Health LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4186 Issued in MN

Legal business name

BACK TO HEALTH LTD

Doing business as

Back to Health Chiropractic

Practice address

6944 Nicollet Ave
Richfield, MN 55423-2407

Phone

(612) 861-8854

Fax

(612) 861-8816

NPI assigned

Jun 13, 2007

Last updated

Aug 22, 2020By 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

Scott Koltes, DCNPI 1366523375

Title

Owner

Phone

(612) 861-8854

Specialties & licenses 1

Addresses

Other names 1

• Back to Health Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Scott Koltes, D.C.

  • Chiropractor
  • Richfield, MN
  • NPI 1366523375
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477757409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232407",
            "telephone_number": "612-861-8854",
            "fax_number": "612-861-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232407",
            "telephone_number": "612-861-8854",
            "fax_number": "612-861-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLTES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-861-8854",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mary Jo Isabel Avendano, L.M.F.T.
• Hugh W Aylward, LP
• Theresa Marie Aymond, DT
• Peuang Baccam
• Elliot Daniel Backer, PA-C
• Ayan Badal
• Christopher Bakouris, O.D.
• Luis Pedro Barillas Schwank, MD
• Patricia M Barland, RD

• Chiropractor in Richfield, MN
• Providers in Richfield, MN by specialty
• Chiropractor in Minnesota

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