Active NPI
Justin D. Backlund, D.C.
- Chiropractor
- Apple Valley, MN
National Provider Identifier
1962640698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5185
- Practice address
- 14732 Durham CT
Apple Valley, MN 55124-7760 - Phone
- (612) 384-6835
- NPI assigned
- Feb 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5185 | MN | Primary |
Addresses
Primary practice location
14732 Durham CT
Apple Valley, MN 55124-7760
Mailing address
14732 Durham CT
Apple Valley, MN 55124-7760
Phone (612) 384-6835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1962640698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14732 DURHAM CT",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247760",
"telephone_number": "612-384-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14732 DURHAM CT",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247760",
"telephone_number": "612-384-6835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKLUND",
"first_name": "JUSTIN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.