Organization Active NPI

Back on Track Family Chiropractic, LLC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1881752012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4166012 Issued in WI
Legal business name
BACK ON TRACK FAMILY CHIROPRACTIC, LLC
Practice address
1650 Hallie Rd
Suite 2
Chippewa Falls, WI 54729-6521
Phone
(715) 831-8220
Fax
(715) 831-8224
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Drew M Kaminski, D.C
Title
Owner
Phone
(715) 831-8220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4166012 WI Primary

Addresses

Primary practice location

1650 Hallie Rd
Suite 2
Chippewa Falls, WI 54729-6521

Mailing address

1650 Hallie Rd
Suite 2
Chippewa Falls, WI 54729-6521
Phone (715) 831-8220

National Provider Directory

National Provider Directory

Locations

1650 Hallie Rd
Ste 2
Chippewa Falls, WI 54729
Phone (715) 831-8220

2751 Commercial Blvd
Ste 4
Chippewa Fls, WI 54729
Phone (715) 720-1800

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881752012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HALLIE RD",
            "address_2": "SUITE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296521",
            "telephone_number": "715-831-8220",
            "fax_number": "715-831-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HALLIE RD",
            "address_2": "SUITE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296521",
            "telephone_number": "715-831-8220",
            "fax_number": "715-831-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK ON TRACK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-831-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4166012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.