NPIMap

Organization Active NPI

Backes Family Chiropractic LLC

  • Chiropractor
  • Rothschild, WI
National Provider Identifier
1669130571
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACKES FAMILY CHIROPRACTIC LLC
Practice address
700 Eagle Nest Blvd Ste a
Rothschild, WI 54474-7995
Phone
(715) 870-2500
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Giana Backes
Title
Owner/Chiropractor
Phone
(715) 870-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

700 Eagle Nest Blvd Ste a
Rothschild, WI 54474-7995

Mailing address

700 Eagle Nest Blvd Ste a
Rothschild, WI 54474-7995

Other identifiers 1

IdentifierTypeStateIssuer
100074351MedicaidWI

National Provider Directory

National Provider Directory

Locations

700 Eagle Nest Blvd
Ste A
Rothschild, WI 54474
Phone (715) 870-2500

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1669130571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EAGLE NEST BLVD STE A",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "544747995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAGLE NEST BLVD STE A",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "544747995",
            "telephone_number": "715-870-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKES FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BACKES",
        "authorized_official_first_name": "GIANA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "715-870-2500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074351",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rothschild, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.