Organization Active NPI

Back to Health Chiropractic Wellness Center, Inc.

  • Chiropractor
  • Live Oak, TX
National Provider Identifier
1801089636
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6948 Issued in TX
Legal business name
BACK TO HEALTH CHIROPRACTIC WELLNESS CENTER, INC.
Practice address
11465 Toepperwein Rd
Live Oak, TX 78233-3138
Phone
(210) 599-9570
Fax
(210) 599-9572
NPI assigned
Aug 24, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Dr. Drew S. Czerminski, D.C.NPI 1427188051
Title
Co-Owner/Doctor
Phone
(210) 599-9570

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
Chiropractor 111N00000X 6948 TX Primary

Addresses

Primary practice location

11465 Toepperwein Rd
Live Oak, TX 78233-3138

Mailing address

11465 Toepperwein Rd
Live Oak, TX 78233-3138
Phone (210) 599-9570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716001081 TX Part B Supplier - Clinic/Group Practice 1658350277 Receives reassigned benefits from 1 practitioner
Practice locations: Live Oak, TX

National Provider Directory

National Provider Directory

Locations

11465 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 599-9570

12107 Toepperwein Rd
Ste 8
Live Oak, TX 78233
Phone (210) 599-9570

Practitioners & affiliated clinicians

Practitioners 3

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1801089636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11465 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333138",
            "telephone_number": "210-599-9570",
            "fax_number": "210-599-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11465 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333138",
            "telephone_number": "210-599-9570",
            "fax_number": "210-599-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "CZERMINSKI",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CO-OWNER/DOCTOR",
        "authorized_official_telephone_number": "210-599-9570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.