Backhaus Chiropractic PLLC
Organization Active NPI Clinic/Center · Belle Fourche, SD
NPI 1750106159 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1750106159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BACKHAUS CHIROPRACTIC PLLC
- Practice address
- 1407 5TH Ave Ste 200
Belle Fourche, SD 57717-2052 - Phone
- (605) 723-3434
- NPI assigned
- Nov 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Colton A Backhaus, DC, CSCS
- Title
- Owner
- Phone
- (701) 426-4579
Practitioners 2
-
Colton Backhaus, DC, CSCS
-
Abby J. Johnson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241120000752 | SD | Part B Supplier - Clinic/Group Practice | 6103351754 |
Receives reassigned benefits from 1 practitioner Practice locations: Belle Fourche, SD |
National Provider Directory
Locations
1407 5th Ave
Ste 200
Belle Fourche, SD 57717
Phone (605) 723-3434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1407 5TH Ave Ste 200
Belle Fourche, SD 57717-2052
Mailing address
1407 5TH Ave Ste 200
Belle Fourche, SD 57717-2052
Phone (605) 723-3434
Other names
- Belle Chiropractic
Other providers in Belle Fourche, SD
- 3 C Pharmacy Inc
- Autumn Dawn Anderson
- Rylee Lynn Anderson
- Kimberlee Ann-Marie Ashe
- Patricia Aurand
- Colton Backhaus
- Lauren R Baumberger
- Belle Adult Day and Senior Services, LLC
- Belle Care
- Belle Drug, LLC
All providers in Belle Fourche, SD · Clinic/Center in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.