NPIMap

Organization Active NPI

David Back Clinic of America

  • Anesthesiology Physician
  • Fort Worth, TX
National Provider Identifier
1497953988
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E6117 Issued in TX
Legal business name
DAVID BACK CLINIC OF AMERICA
Practice address
3800 Hulen St
#110
Fort Worth, TX 76107-7276
Phone
(817) 921-9983
Fax
(817) 763-9985
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Bob Schlinkman, D.C.
Title
Partner -VP National Development
Phone
(972) 839-3250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X E6117 TX Primary
Spinal Cord Injury Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0004X

Addresses

Primary practice location

3800 Hulen St
#110
Fort Worth, TX 76107-7276

Mailing address

3800 Hulen St
#110
Fort Worth, TX 76107-7276
Phone (817) 921-9983

Other names 1

  • DBC Ft. Worth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Back Clinic of America Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3800 Hulen St
Ste 110
Fort Worth, TX 76107
Phone (817) 921-9983

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1497953988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HULEN ST",
            "address_2": "#110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077276",
            "telephone_number": "817-921-9983",
            "fax_number": "817-763-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HULEN ST",
            "address_2": "#110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077276",
            "telephone_number": "817-921-9983",
            "fax_number": "817-763-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BACK CLINIC OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHLINKMAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PARTNER -VP NATIONAL DEVELOPMENT",
        "authorized_official_telephone_number": "972-839-3250",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E6117",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBC Ft. Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.