Organization Active NPI

Rogers Back to Health Chiropractic

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1598065344
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1330 Issued in AR
Legal business name
ROGERS BACK TO HEALTH CHIROPRACTIC
Practice address
2502 W Olive St
Rogers, AR 72756-3170
Phone
(479) 636-1108
Fax
(479) 636-1148
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Dr. Elizabeth Jane Rhodes, DCNPI 1063483766
Title
Owner
Phone
(479) 636-1108

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 1330 AR Primary

Addresses

Primary practice location

2502 W Olive St
Rogers, AR 72756-3170

Mailing address

2502 W Olive St
Rogers, AR 72756-3170
Phone (479) 636-1108

Other identifiers 1

IdentifierTypeStateIssuer
185316718MedicaidAR

Other names 1

  • Back to Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220001026 AR Part B Supplier - Clinic/Group Practice 0143418004 Receives reassigned benefits from 1 practitioner
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Locations

500 N Dixieland Rd
Ste 4
Rogers, AR 72756
Phone (479) 636-1108

Practitioners & affiliated clinicians

Practitioners 4

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": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1598065344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 W OLIVE ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563170",
            "telephone_number": "479-636-1108",
            "fax_number": "479-636-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W OLIVE ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563170",
            "telephone_number": "479-636-1108",
            "fax_number": "479-636-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS BACK TO HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-636-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185316718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.