NPIMap

Organization Active NPI

David Back Clinic of America, Inc.

  • Spinal Cord Injury Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1720282122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
Legal business name
DAVID BACK CLINIC OF AMERICA, INC.
Practice address
7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone
(817) 921-9983
Fax
(817) 763-9985
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bob Schlinkman
Title
Partner -VP National Development
Phone
(972) 839-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P0004X Primary

Addresses

Primary practice location

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Mailing address

7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone (817) 921-9983

Other names 1

  • DBC Southwest Fort Worth Other name

National Provider Directory

National Provider Directory
Tax ID family
David Back Clinic of America Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7148 Trail Lake Dr
Ft Worth, TX 76123

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720282122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-921-9983",
            "fax_number": "817-763-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-921-9983",
            "fax_number": "817-763-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BACK CLINIC OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLINKMAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PARTNER -VP NATIONAL DEVELOPMENT",
        "authorized_official_telephone_number": "972-839-3250"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBC Southwest Fort Worth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.