Neck & Back Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2650 Issued in TX

Legal business name

NECK & BACK CENTER

Practice address

4100 W 15TH St Ste 206
Plano, TX 75093-5801

Phone

(972) 985-9048

Fax

(972) 596-7570

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Mike O'Kelley, D.C.

Title

Owner

Phone

(972) 985-9048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1750692125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-985-9048",
            "fax_number": "972-596-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935801",
            "telephone_number": "972-985-9048",
            "fax_number": "972-596-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK & BACK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "O'KELLEY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-985-9048",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plano, TX
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• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.