Organization Active NPI

Dr Carolyn Griffin - Back to Health Chiropractic Corporation

  • Chiropractor
  • Valencia, CA
National Provider Identifier
1902305097
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR CAROLYN GRIFFIN - BACK TO HEALTH CHIROPRACTIC CORPORATION
Practice address
27674 Newhall Ranch Rd Unit 65
Valencia, CA 91355-4020
Phone
(661) 294-0429
Fax
(661) 294-0439
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Dr. Carolyn Alexis Griffin, DCNPI 1184656266
Title
Owner
Phone
(661) 294-0429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

27674 Newhall Ranch Rd Unit 65
Valencia, CA 91355-4020

Mailing address

27674 Newhall Ranch Rd Unit 65
Valencia, CA 91355-4020
Phone (661) 294-0429

Other names 1

  • Back To Health Chiropractic Center Valencia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408001754 CA Part B Supplier - Clinic/Group Practice 1557779642 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

27674 Newhall Ranch Rd
Unit 65
Valencia, CA 91355
Phone (661) 294-0429

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1902305097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27674 NEWHALL RANCH RD UNIT 65",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554020",
            "telephone_number": "661-294-0429",
            "fax_number": "661-294-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27674 NEWHALL RANCH RD UNIT 65",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554020",
            "telephone_number": "661-294-0429",
            "fax_number": "661-294-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CAROLYN GRIFFIN - BACK TO HEALTH CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-294-0429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Health Chiropractic Center Valencia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.