Back in Action Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3652-012 Issued in WI

Legal business name

BACK IN ACTION CHIROPRACTIC CENTER, LLC

Practice address

111 N 5TH St
De Pere, WI 54115-2201

Phone

(920) 336-9355

Fax

(920) 336-9358

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By 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. Steven P Hansen, D.C.NPI 1992872071

Title

Owner

Phone

(920) 336-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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.

• Steven P Hansen, D.C.

  • Chiropractor
  • De Pere, WI
  • NPI 1992872071
  Medicare reassignment NPD Authorized official
• Colby Kasten, DC

  • Chiropractor
  • Reedsville, WI
  • NPI 1417652025
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902963812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 5TH ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152201",
            "telephone_number": "920-336-9355",
            "fax_number": "920-336-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 5TH ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152201",
            "telephone_number": "920-336-9355",
            "fax_number": "920-336-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-336-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3652-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aleksandra Babiarz, MD
• Raymond G Bachhuber, MD
• Aubrey Paige Barker, SLP
• Ronald A Barnes, MD
• Theresa L Barr-Drew
• Caitlin Quinn Barr, MD
• Brooklyn Ann Barrette

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• 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.
• 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.