Active NPI
Backbone Chiropractic, LLC
- Chiropractor
- East Lansing, MI
National Provider Identifier
1720153299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- KB008544
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043397003 | Medicaid | MI | |
| 1720153299 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.