Jenifer C Back, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 14169 Issued in FL

Practice address

3800 Clark Rd
Sarasota, FL 34233-2361

Phone

(941) 927-5411

Fax

(941) 927-5477

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881608347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332361",
            "telephone_number": "941-927-5411",
            "fax_number": "941-927-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332361",
            "telephone_number": "941-927-5411",
            "fax_number": "941-927-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "JENIFER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M. Bacher, PSYD
• Back in Motion Sarasota Physical
• Back in Volved
• Back on Track,LLC.
• Back to Health Wellness Center,Inc
• Kyle Backofen, DPT
• Conrad Balmes Bacoy
• Alvaro Miguel Bada, M.D.
• Turan TJ Badali, PA-C
• Diane Robin Bader-Anderson, SW

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.