Back Wellness Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007303 Issued in MI

Legal business name

BACK WELLNESS CENTER PC

Practice address

23100 Cherry Hill St Ste 4
Dearborn, MI 48124-1449

Phone

(313) 724-8925

Fax

(313) 724-8926

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Joseph Woda, DCNPI 1609094424

Title

Owner

Phone

(313) 724-8925

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• James J Woda DC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• James Joseph Woda, D.C

  • Chiropractor
  • Dearborn, MI
  • NPI 1609094424
  Medicare reassignment NPD Authorized official
• Jennifer Lynn Kelly, D.C.

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1396914388
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1962796870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST STE 4",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-724-8925",
            "fax_number": "313-724-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 CHERRY HILL ST STE 4",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241449",
            "telephone_number": "313-724-8925",
            "fax_number": "313-724-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "WODA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-724-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3489405",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H25371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James J Woda DC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "James J Woda DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Babylon Home Care (--None--)
• Daniel Bacal, M.D.
• Kayla M Bacha
• Jeffrey Leonard Bachynski, BSW
• Back in Motion Chiropractic,DC,PLLC.
• Scott Backman
• Andrew John Bacyinski, MD, DPT
• Rama Badawi
• Rezam Mohamad Baddah
• Timothy Baden

• Chiropractor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.