Backworks Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005040459 Issued in MO

Legal business name

BACKWORKS CHIROPRACTIC AND WELLNESS LLC

Practice address

907 N Harris Dr Ste B
Dexter, MO 63841-2734

Phone

(573) 624-1935

Fax

(573) 624-9131

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 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. Kelly R. Hutson, D.C.NPI 1891866042

Title

Member

Phone

(573) 624-1935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Kelly R Hutson, D.C.

  • Chiropractor
  • Dexter, MO
  • NPI 1891866042
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1902094790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N HARRIS DR STE B",
            "address_2": "PO BOX 678",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412734",
            "telephone_number": "573-624-1935",
            "fax_number": "573-624-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N HARRIS DR STE B",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412734",
            "telephone_number": "573-624-1935",
            "fax_number": "573-624-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKWORKS CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-624-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005040459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Leigh Almond
• Sheila Ann Alsup, PT
• Americare at Cypress Point Nursing Center, LLC (Cypress Point - Skilled Nursing by Americare)
• Arbor Place of Dexter, Inc.
• Deborah Lou Ash, LPC
• Berthelot Counseling
• Betty Jo Berthelot, LPC
• John T Blair, MD
• Cory W Blocker, PNP
• Kristerpher Dean Brimberry, PMHNP

• Chiropractor in Dexter, MO
• Providers in Dexter, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.