Organization Active NPI

Back by Design, PLLC

  • Chiropractor
  • Iowa Park, TX
National Provider Identifier
1922421015
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12021 Issued in TX
Legal business name
BACK BY DESIGN, PLLC
Doing business as
Back By Design
Practice address
928 W Highway St
Iowa Park, TX 76367-1149
Phone
(940) 592-2778
Fax
(940) 592-2701
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Lauren Michelle Rains, D.C.NPI 1316213689
Title
Owner/Chiropractor
Phone
(940) 592-2778

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 12021 TX Primary

Addresses

Primary practice location

928 W Highway St
Iowa Park, TX 76367-1149

Mailing address

928 W Highway St
Iowa Park, TX 76367-1149
Phone (940) 592-2778

Other identifiers 1

IdentifierTypeStateIssuer
046455402MedicaidTX

Other names 1

  • Back By Design Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140306000204 TX Part B Supplier - Clinic/Group Practice 9436389798 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa Park, TX

National Provider Directory

National Provider Directory

Locations

928 W Highway St
Iowa Park, TX 76367
Phone (940) 592-2778

Practitioners & affiliated clinicians

Practitioners 1

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": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1922421015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 W HIGHWAY ST",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763671149",
            "telephone_number": "940-592-2778",
            "fax_number": "940-592-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 W HIGHWAY ST",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763671149",
            "telephone_number": "940-592-2778",
            "fax_number": "940-592-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK BY DESIGN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "940-592-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046455402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back By Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.