Back in Action Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002467A Issued in IN

Legal business name

BACK IN ACTION CHIROPRACTIC

Practice address

10443 Llinois Road
Fort Wayne, IN 46814

Phone

(260) 625-5144

Fax

(260) 625-5264

NPI assigned

Aug 6, 2009

Last updated

Feb 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Rene O'Donnell, D.C.NPI 1225268568

Title

President

Phone

(260) 625-5144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Rene O'Donnell, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1225268568
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas Joseph Sullivan, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1083868863
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1821229998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10443 LLINOIS ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46814",
            "telephone_number": "260-625-5144",
            "fax_number": "260-625-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10443 LLINOIS ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46814",
            "telephone_number": "260-625-5144",
            "fax_number": "260-625-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-625-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002467A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Ann Baccari, PHARMD
• Brandon Baccari
• Harold Mustapha Bacchus Jr., MD
• Gabriela Bacerra
• Kathy Bach, MD
• Back in Balance Massage and Wellness LLC
• Backbone Chiropractic Inc
• Ashlynn Nichole Baczynski
• Kaely S Bade, M.D.
• Susan E Badenhorst, CRNA

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.