Organization Active NPI

Back and Neck Pain Relief Center

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1922421668
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2265-012 Issued in WI
Legal business name
BACK AND NECK PAIN RELIEF CENTER
Practice address
1223 W Main St
Number 292
Sun Prairie, WI 53590-1942
Phone
(608) 373-1563
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Dr. Gregory Thiry, D.C.NPI 1205809894
Title
President
Phone
(608) 373-1563

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 2265-012 WI Primary

Addresses

Primary practice location

1223 W Main St
Number 292
Sun Prairie, WI 53590-1942

Mailing address

1223 W Main St
Number 292
Sun Prairie, WI 53590-1942
Phone (608) 373-1563

National Provider Directory

National Provider Directory
Tax ID family
Back and Neck Pain Relief Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1922421668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 W MAIN ST",
            "address_2": "NUMBER 292",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901942",
            "telephone_number": "608-373-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 W MAIN ST",
            "address_2": "NUMBER 292",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901942",
            "telephone_number": "608-373-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "THIRY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-373-1563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2265-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.