NPIMap

Organization Active NPI

Back in Action Chiropractic LLC

Doing business as Back in Action Chiropractic LLC Sedalia

  • Chiropractor
  • Sedalia, MO
National Provider Identifier
1801430152
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK IN ACTION CHIROPRACTIC LLC
Doing business as
Back in Action Chiropractic LLC Sedalia
Practice address
2420 S Limit Ave
Sedalia, MO 65301-6910
Phone
(660) 620-0276
Fax
(660) 438-6943
NPI assigned
Oct 30, 2019
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BACK IN ACTION CHIROPRACTIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Dr. Tyrel Reichert, DCNPI 1164947032
Title
Owner
Phone
(660) 620-0276

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 NU Primary

Addresses

Primary practice location

2420 S Limit Ave
Sedalia, MO 65301-6910

Mailing address

PO Box 729
Warsaw, MO 65355-0729
Phone (660) 620-0276

Other names 1

  • Back in Action Chiropractic LLC Sedalia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127001435 MO Part B Supplier - Clinic/Group Practice 2062779291 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sedalia, MO; Warsaw, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Back in Action Chiropractic LLC3 organizations share this tax ID, including this one
Part of
Back in Action Chiropractic LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2420 S Limit Ave
Sedalia, MO 65301
Phone (660) 223-0199

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1801430152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653550729",
            "telephone_number": "660-620-0276",
            "fax_number": "660-438-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S LIMIT AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653016910",
            "telephone_number": "660-620-0276",
            "fax_number": "660-438-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACK IN ACTION CHIROPRACTIC LLC",
        "enumeration_date": "2019-10-30",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "TYREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-620-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Action Chiropractic LLC Sedalia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back in Action Chiropractic LLC Sedalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.