Organization Active NPI

Back and Body Chiropractic Center Inc.

  • Chiropractor
  • Liberty, KY
National Provider Identifier
1568596286
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KY4614 Issued in KY
Legal business name
BACK AND BODY CHIROPRACTIC CENTER INC.
Practice address
69 Hustonville Street
Liberty, KY 42539
Phone
(606) 787-2800
Fax
(606) 787-2880
NPI assigned
Mar 15, 2007
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Erica Lynn Montgomery-Turner, D.C.NPI 1609837632
Title
Doctor
Phone
(606) 787-2800

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
Chiropractor 111N00000X KY4614 KY Primary

Addresses

Primary practice location

69 Hustonville Street
Liberty, KY 42539

Mailing address

PO Box 340
Liberty, KY 42539-0340
Phone (606) 787-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000631 KY Part B Supplier - Clinic/Group Practice 3274598230 Receives reassigned benefits from 2 practitioners
Practice locations: Liberty, KY

National Provider Directory

National Provider Directory

Locations

69 Hustonville St
Liberty, KY 42539
Phone (606) 787-2800

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1568596286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425390340",
            "telephone_number": "606-787-2800",
            "fax_number": "606-787-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HUSTONVILLE STREET",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "606-787-2800",
            "fax_number": "606-787-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND BODY CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY-TURNER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "606-787-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "KY4614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.