Organization Active NPI

Alachua Chiropractic Incorporated

Doing business as Back to Health Chiropractic

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1750651741
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9584 Issued in FL
Legal business name
ALACHUA CHIROPRACTIC INCORPORATED
Doing business as
Back to Health Chiropractic
Practice address
1521 SE 36TH Ave
Suite 2
Ocala, FL 34471-4936
Phone
(352) 512-0530
Fax
(352) 512-0531
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mrs. Danielle Disimile
Title
Office Manager
Phone
(352) 512-0530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9584 FL Primary

Addresses

Primary practice location

1521 SE 36TH Ave
Suite 2
Ocala, FL 34471-4936

Mailing address

1521 SE 36TH Ave
Suite 2
Ocala, FL 34471-4936
Phone (352) 512-0530

Other names 1

  • Back to Health Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000424 FL Part B Supplier - Clinic/Group Practice 1850551425 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

1521 SE 36th Ave
#2
Ocala, FL 34471
Phone (352) 512-0530

1521 SE 36th Ave
Ste 2
Ocala, FL 34471
Phone (352) 512-0530

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1750651741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 SE 36TH AVE",
            "address_2": "SUITE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714936",
            "telephone_number": "352-512-0530",
            "fax_number": "352-512-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 SE 36TH AVE",
            "address_2": "SUITE 2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714936",
            "telephone_number": "352-512-0530",
            "fax_number": "352-512-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALACHUA CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "DISIMILE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-512-0530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.