Back 2 Back Chiropractic Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3047 Issued in NC

Legal business name

BACK 2 BACK CHIROPRACTIC GROUP LLC

Practice address

206 Joe V Knox Avenue
Suite C
Mooresville, NC 28117

Phone

(704) 799-1999

Fax

(704) 663-8225

NPI assigned

Dec 6, 2006

Last updated

Feb 4, 2010By 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

Derik Baltich, D.C.NPI 1124198593

Title

President

Phone

(704) 799-1999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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.

• Derik Nelson Baltich, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1124198593
  Medicare reassignment Care Compare group NPD Authorized official
• Curtis Jay Uhrich, D.C.

  • Chiropractor
  • Mooresville, NC
  • NPI 1356400253
  Medicare reassignment Care Compare group NPD
• Andrew C Green, D.C.

  • Chiropractor
  • Clemmons, NC
  • NPI 1578890356
  Medicare reassignment NPD
• Jamie Dallas Reed, D.C.

  • Chiropractor
  • Shamokin, PA
  • NPI 1518150390
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1962560284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 JOE V KNOX AVENUE",
            "address_2": "SUITE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179148",
            "telephone_number": "704-799-1999",
            "fax_number": "704-663-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JOE V KNOX AVENUE",
            "address_2": "SUITE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-799-1999",
            "fax_number": "704-663-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 BACK CHIROPRACTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "BALTICH",
        "authorized_official_first_name": "DERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-799-1999",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98014NP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Ault, PT
• Taylor Aunon, FNP-BC
• Sarah Marie Austin, PT, DPT
• Amanda Avalos, BCBA
• Kyle James Babinski, DO
• Ashley Elizabeth Bagwell, LCMHC-S
• Amanda Heather Bailey, D.O.
• Ashley Weisenberger Bailey
• Colleen Marie Bailey, CRNA
• Jennifer Bailey

• Chiropractor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.