Backbone Chiropractic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BACKBONE CHIROPRACTIC INC

Practice address

9921 Coldwater Rd
Fort Wayne, IN 46825-2041

Phone

(260) 218-0500

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Dean Beck, DCNPI 1265922132

Title

Sole Owner

Phone

(219) 916-4456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Dean Beck, DC

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1265922132
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1972254415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 COUNTY ROAD 18",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465288681",
            "telephone_number": "219-916-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252041",
            "telephone_number": "260-218-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "IN",
            "postal_code": "46540",
            "country_code": "US",
            "telephone_number": "574-350-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACKBONE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "219-916-4456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Mustapha Bacchus Jr., MD
• Gabriela Bacerra
• Kathy Bach, MD
• Back in Action Chiropractic
• Back in Balance Massage and Wellness LLC
• Ashlynn Nichole Baczynski
• Kaely S Bade, M.D.
• Susan E Badenhorst, CRNA
• Zahnee Badgley
• Joseph Elwood Baer, M.S., ATC/L

• Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.