Organization Active NPI

Backroads Chiropractic PC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1932224367
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6017 Issued in CO
Legal business name
BACKROADS CHIROPRACTIC PC
Practice address
716 W Brookside St
Colorado Springs, CO 80906-2073
Phone
(719) 475-9103
Fax
(719) 475-2225
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Diane Lynn Elwer, D.C.
Title
President
Phone
(719) 475-9103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6017 CO Primary

Addresses

Primary practice location

716 W Brookside St
Colorado Springs, CO 80906-2073

Mailing address

716 W Brookside St
Colorado Springs, CO 80906-2073
Phone (719) 475-9103

National Provider Directory

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1932224367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062073",
            "telephone_number": "719-475-9103",
            "fax_number": "719-475-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062073",
            "telephone_number": "719-475-9103",
            "fax_number": "719-475-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKROADS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "ELWER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-475-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.