Active NPI
Back Essentials, Inc.
- Orthopedic Chiropractor
- Colorado Springs, CO
National Provider Identifier
1477861573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 6242
- Legal business name
- BACK ESSENTIALS, INC.
- Practice address
- 4742 Barnes Rd
Colorado Springs, CO 80917-1643 - Phone
- (719) 573-2225
- Fax
- (719) 573-2229
- NPI assigned
- Sep 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kerry D Tarvin, DC DABCO
- Title
- Manager
- Phone
- (719) 573-2225
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 6242 | CO | Primary |
Addresses
Primary practice location
4742 Barnes Rd
Colorado Springs, CO 80917-1643
Mailing address
3431 N Market St
Shreveport, LA 71107-3812
Phone (318) 425-2225
National Provider Directory
National Provider DirectoryLocations
4742 Barnes Rd
Colorado Springs, CO 80917
Phone (719) 573-2225
Practitioners & affiliated clinicians
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.
-
- Orthopedic Chiropractor
- Shreveport, LA
- NPI 1154467942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1477861573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3431 N MARKET ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711073812",
"telephone_number": "318-425-2225",
"fax_number": "318-425-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4742 BARNES RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809171643",
"telephone_number": "719-573-2225",
"fax_number": "719-573-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK ESSENTIALS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "719-573-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC DABCO"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "CO",
"license": "6242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.