Organization Active NPI

Westerville Back Care Center Inc

  • Chiropractor
  • Westerville, OH
National Provider Identifier
1780788877
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1247 Issued in OH
Legal business name
WESTERVILLE BACK CARE CENTER INC
Practice address
107 A Commerce Park Dr
Westerville, OH 43082-6057
Phone
(614) 794-0200
Fax
(614) 794-0200
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Dawn Renae Sifft, DCNPI 1780886960
Title
Chiropractor President
Phone
(614) 794-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1247 OH Primary

Addresses

Primary practice location

107 A Commerce Park Dr
Westerville, OH 43082-6057

Mailing address

107 A Commerce Park Dr
Westerville, OH 43082-6057
Phone (614) 794-0200

Other identifiers 1

IdentifierTypeStateIssuer
9254561OtherOHUNSPECIFIED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000315 OH Part B Supplier - Clinic/Group Practice 4587697867 Receives reassigned benefits from 1 practitioner
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

107 Commerce Park Dr
Ste A
Westerville, OH 43082
Phone (614) 794-0200

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1780788877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 A COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826057",
            "telephone_number": "614-794-0200",
            "fax_number": "614-794-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 A COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826057",
            "telephone_number": "614-794-0200",
            "fax_number": "614-794-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE BACK CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "SIFFT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "CHIROPRACTOR PRESIDENT",
        "authorized_official_telephone_number": "614-794-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "9254561",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.