Organization Active NPI

Back to Health Chiropractic Center, P.a.

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1891913349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4200 Issued in MN
Legal business name
BACK TO HEALTH CHIROPRACTIC CENTER, P.A.
Practice address
10880 175TH CT W
Suite #120
Lakeville, MN 55044-8781
Phone
(952) 892-0898
Fax
(952) 898-7626
NPI assigned
Apr 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Brian Thomas Sontag, D.C.
Title
Chiropractor
Phone
(952) 892-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4200 MN Primary

Addresses

Primary practice location

10880 175TH CT W
Suite #120
Lakeville, MN 55044-8781

Mailing address

10880 175TH CT W
Suite #120
Lakeville, MN 55044-8781
Phone (952) 892-0898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891913349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 175TH CT W",
            "address_2": "SUITE #120",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448781",
            "telephone_number": "952-892-0898",
            "fax_number": "952-898-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 175TH CT W",
            "address_2": "SUITE #120",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448781",
            "telephone_number": "952-892-0898",
            "fax_number": "952-898-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "952-892-0898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

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.