Back Into Life Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK INTO LIFE CHIROPRACTIC PA

Doing business as

Back Into Life Chiropractic

Practice address

7533 Sunwood Dr NW
Ste. 212
Ramsey, MN 55303-4973

Phone

(763) 712-5986

Fax

(763) 712-3916

NPI assigned

Mar 22, 2007

Last updated

Sep 30, 2015By 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. Jesse Michael Ternus, D.C.NPI 1962486779

Title

President

Phone

(763) 712-5986

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Back Into Life Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

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.

• Jesse Michael Ternus, DC

  • Chiropractor
  • Ramsey, MN
  • NPI 1962486779
  Medicare reassignment Authorized official
• Craig D Kohout, DC

  • Chiropractor
  • Ramsey, MN
  • NPI 1639520570
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1922124528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 SUNWOOD DR NW",
            "address_2": "STE. 212",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034973",
            "telephone_number": "763-712-5986",
            "fax_number": "763-712-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 SUNWOOD DR NW",
            "address_2": "STE. 212",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034973",
            "telephone_number": "763-712-5986",
            "fax_number": "763-712-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK INTO LIFE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "TERNUS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-712-5986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82D29BA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Into Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Marie Ault, LGSW
• Eric Randall Aurelius, MS LICSW CPRP
• Amy Awker, PHARM.D
• Angela Aykens
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• Terry Lee Barnett, D.D.S
• Eric Brian Barth, MD
• Begin Anew

• Chiropractor in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.