Back Essentials, Inc.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

1060 Issued in LA

Legal business name

BACK ESSENTIALS, INC.

Doing business as

Back Essentials, Inc.

Practice address

3431 N Market St
Shreveport, LA 71107-3812

Phone

(318) 425-2225

Fax

(318) 425-2221

NPI assigned

Sep 18, 2008

Last updated

Mar 5, 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

Mrs. Brooke A Tarvin

Title

President

Phone

(318) 425-2225

Specialties & licenses 1

Addresses

Other names 1

• Back Essentials, Inc. Doing business as

Locations

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1487803029",
    "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": "3431 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073812",
            "telephone_number": "318-425-2225",
            "fax_number": "318-425-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ESSENTIALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-425-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "LA",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Essentials, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Orthopedic Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.