The Back Expert PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

5527 Issued in CO

Legal business name

THE BACK EXPERT PC

Doing business as

Total Wellness Center

Practice address

4024 S Parker Rd
Aurora, CO 80014-4131

Phone

(303) 627-7995

NPI assigned

Mar 6, 2007

Last updated

Nov 3, 2007By 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. Holly Rede Geersen, D.C.NPI 1265563274

Title

President

Phone

(303) 627-7995

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Total Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

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.

• Holly Rede Geersen, D.C.

  • Rehabilitation Chiropractor
  • Aurora, CO
  • NPI 1265563274
  Medicare reassignment NPD Authorized official
• Rebecca S Spacke, DC

  • Chiropractor
  • Marathon, FL
  • NPI 1023024122
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1841320017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144131",
            "telephone_number": "303-627-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144131",
            "telephone_number": "303-627-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BACK EXPERT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "GEERSEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "REDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-627-7995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "5527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID NUMBER",
            "identifier": "11513075",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID NUMBER",
            "identifier": "7264720",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thida Myo Thant, M.D.
• Lauren D. Thaxton, M.D.
• The Angel LLC
• The Anna Company
• The Apprentice of Peace Wellness Studio
• The Black Lotus Recovery Collective
• The Boym LLC. (11 Optical)
• The Children's Hospital Aurora Co
• The Community Transportation Services LLC (The community Transportation Services)
• The Courage Center

• Rehabilitation Chiropractor in Aurora, CO
• Providers in Aurora, CO by specialty
• Rehabilitation Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.