Organization Active NPI

Backbone Chiropractic, LLC

  • Chiropractor
  • East Lansing, MI
National Provider Identifier
1720153299
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KB008544 Issued in MI
Legal business name
BACKBONE CHIROPRACTIC, LLC
Practice address
802 W Lake Lansing Rd
East Lansing, MI 48823-1308
Phone
(517) 316-1277
Fax
(517) 316-2102
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Dr. Kristin J Batdorf, D.C.
Title
Owner, Chiropractor
Phone
(517) 316-1277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X KB008544 MI Primary

Addresses

Primary practice location

802 W Lake Lansing Rd
East Lansing, MI 48823-1308

Mailing address

802 W Lake Lansing Rd
East Lansing, MI 48823-1308
Phone (517) 316-1277

Other identifiers 2

IdentifierTypeStateIssuer
1043397003MedicaidMI
1720153299MedicaidMI

National Provider Directory

National Provider Directory

Locations

802 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 316-1277

1770 E Grand River Ave
East Lansing, MI 48823
Phone (517) 316-1277

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1720153299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231308",
            "telephone_number": "517-316-1277",
            "fax_number": "517-316-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231308",
            "telephone_number": "517-316-1277",
            "fax_number": "517-316-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKBONE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "BATDORF",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "517-316-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KB008544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043397003",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720153299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.