Organization Active NPI

Elizabeth Thorne LLC

Doing business as Back Home Chiropractic

  • Chiropractor
  • Parkville, MO
National Provider Identifier
1508397597
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015015202 Issued in MO
Legal business name
ELIZABETH THORNE LLC
Doing business as
Back Home Chiropractic
Practice address
6264 Lewis Dr
Ste 101
Parkville, MO 64152-3603
Phone
(913) 353-5659
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Authorized official

Name
Elizabeth Thorne, DCNPI 1225403892
Title
Owner/Chiropractor
Phone
(913) 353-5659

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2015015202 MO Primary

Addresses

Primary practice location

6264 Lewis Dr
Ste 101
Parkville, MO 64152-3603

Mailing address

6264 Lewis Dr
Ste 101
Parkville, MO 64152-3603
Phone (913) 353-5659

Other names 1

  • Back Home Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808003487 MO Part B Supplier - Clinic/Group Practice 8123399235 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MO

National Provider Directory

National Provider Directory

Locations

6264 Lewis Dr
Ste 101
Parkville, MO 64152
Phone (913) 353-5659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1508397597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 LEWIS DR",
            "address_2": "STE 101",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523603",
            "telephone_number": "913-353-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 LEWIS DR",
            "address_2": "STE 101",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523603",
            "telephone_number": "913-353-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH THORNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "913-353-5659",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Home Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back Home Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.