NPIMap

Organization Active NPI

Back Into Health Chiropractic Inc.

Doing business as Mind Body Spirit Wellness Center

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1669754537
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7959 Issued in FL
Legal business name
BACK INTO HEALTH CHIROPRACTIC INC.
Doing business as
Mind Body Spirit Wellness Center
Practice address
13121 Atlantic Blvd.
Suite 4
Jacksonville, FL 32225-3125
Phone
(904) 220-6461
Fax
(904) 220-8953
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Theodore Charles Kuchler III, DCNPI 1447340062
Title
President
Phone
(904) 220-6461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7959 FL Primary

Addresses

Primary practice location

13121 Atlantic Blvd.
Suite 4
Jacksonville, FL 32225-3125

Mailing address

13121 Atlantic Blvd.
Suite 4
Jacksonville, FL 32225-3125
Phone (904) 220-6461

Other names 1

  • Mind Body Spirit Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

13121 Atlantic Blvd
Ste 4
Jacksonville, FL 32225
Phone (904) 220-6461

Practitioners & affiliated clinicians

Practitioners 2

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": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1669754537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 ATLANTIC BLVD.",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253125",
            "telephone_number": "904-220-6461",
            "fax_number": "904-220-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 ATLANTIC BLVD.",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253125",
            "telephone_number": "904-220-6461",
            "fax_number": "904-220-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK INTO HEALTH CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "KUCHLER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-220-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Spirit Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.