NPIMap

Organization Active NPI

DC Healthcare Professional Limited Liability Company

Doing business as A Backcare Center

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1699854901
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7173 Issued in FL
Legal business name
DC HEALTHCARE PROFESSIONAL LIMITED LIABILITY COMPANY
Doing business as
A Backcare Center
Practice address
5559 N Davis Hwy
Suite B
Pensacola, FL 32503-2048
Phone
(850) 475-2675
Fax
(850) 475-2679
NPI assigned
Nov 6, 2006
Last updated
Jan 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Dr. Donald Clinton Carlock Jr., D.C.NPI 1649281957
Title
Clinic Director
Phone
(850) 475-2675

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 CH7173 FL Primary

Addresses

Primary practice location

5559 N Davis Hwy
Suite B
Pensacola, FL 32503-2048

Mailing address

5559 N Davis Hwy
Suite B
Pensacola, FL 32503-2048
Phone (850) 475-2675

Other identifiers 2

IdentifierTypeStateIssuer
381273100MedicaidFL
55449OtherFLBCBS

Other names 1

  • A Backcare Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1699854901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 N DAVIS HWY",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032048",
            "telephone_number": "850-475-2675",
            "fax_number": "850-475-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 N DAVIS HWY",
            "address_2": "SUITE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032048",
            "telephone_number": "850-475-2675",
            "fax_number": "850-475-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC HEALTHCARE PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "CARLOCK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "850-475-2675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381273100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55449",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Backcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.