Michael B Back, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002774 Issued in WA

Practice address

11802 NE 65TH St
Suite 100
Vancouver, WA 98662-5521

Phone

(360) 253-6883

Fax

(360) 892-7040

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NW Interventional Medicine and Orthopedic Rehab PLLCGroup PAC ID 3375837560, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NW Interventional Medicine and Orthopedic Rehab PLLC

  • Medical Physician Assistant
  • Vancouver, WA
  • NPI 1982058814
  Medicare reassignment Care Compare group
• Allen Chiropractic LLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1356392765
  NPD (past)
• Gehm Chiropractic Services

  • Clinic/Center
  • Camas, WA
  • NPI 1811453327
  NPD (past)
• Hazel Dell Sports Medicine & Rehab Clinic PLLC

  • Chiropractor
  • Vancouver, WA
  • NPI 1902930076
  NPD (past)
• Vancouver Spine & Orthopedic Rehabilition Center, PLLC

  • Specialist
  • Vancouver, WA
  • NPI 1720247877
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1962407080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 NE 65TH ST",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625521",
            "telephone_number": "360-253-6883",
            "fax_number": "360-892-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 NE 65TH ST",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625521",
            "telephone_number": "360-253-6883",
            "fax_number": "360-892-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84058466",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDS.",
            "identifier": "0187146",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00169111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solomiya Bachinsky, D.C.
• Jill Bachmann, M.D.
• Back in Line Health Care LLC
• Back to Balance Bodywork, LLC
• Back to Health Chiropractic Clinic, P.C.
• Seth A Backer
• Donald Yutaka Backus, PHARM.D.
• Thomas Shogo Backus, DDS
• William D Backus, QMHA, CAAR
• Julie Bacon, MSW

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.