Organization Active NPI

Back Essentials, Inc.

  • Orthopedic Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1477861573
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
6242 Issued in CO
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

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Kerry D Tarvin, DC DABCONPI 1154467942
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)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.