NPIMap

Organization Active NPI

Scott a & Christine M Becker

Doing business as Associated Back Care

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1497918106
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038003978 Issued in IL
Legal business name
SCOTT A & CHRISTINE M BECKER
Doing business as
Associated Back Care
Practice address
3419 N Woodford St
Decatur, IL 62526-2839
Phone
(217) 875-7388
Fax
(217) 875-7388
NPI assigned
Jul 3, 2008
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Scott A BeckerNPI 1669472924
Title
Co-Owner
Phone
(217) 875-7388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038003978 IL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038004228 IL

Addresses

Primary practice location

3419 N Woodford St
Decatur, IL 62526-2839

Mailing address

3419 N Woodford St
Decatur, IL 62526-2839
Phone (217) 875-7388

Other identifiers 1

IdentifierTypeStateIssuer
5815174OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

Other names 1

  • Associated Back Care Doing business as

National Provider Directory

National Provider Directory

Locations

3419 N Woodford St
Decatur, IL 62526
Phone (217) 864-1253

Practitioners & affiliated clinicians

Practitioners 3

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": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1497918106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262839",
            "telephone_number": "217-875-7388",
            "fax_number": "217-875-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262839",
            "telephone_number": "217-875-7388",
            "fax_number": "217-875-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A & CHRISTINE M BECKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "217-875-7388"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003978",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "5815174",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Back Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.