BACK IN MOTION CHIROPRACTIC LLC (NPI# 1104287069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104287069 |
| Entity Type | Organization |
| Organization Name | BACK IN MOTION CHIROPRACTIC LLC |
| Practice Address |
2835 University Ave Waterloo IA 50701-3335 |
| Mailing Address |
4132 Harbin Dr Waterloo IA 50701-9745 |
| Practice Telephone | 3192336673 |
| Mailing Telephone | 3192336673 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | DR. JIMMY JAY SMITH (OWNER) |
| Authorized Official Telephone | 3192336673 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A05449 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0070748 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339394 | Back In Motion Chiropractic LLC | Clinic/Center | 2501 E Hebron Pkwy Ste 150, Carrollton, TX 75010-4402 | 2020-02-25 |
| 1710334636 | Back In Motion Chiropractic LLC | Chiropractor | 413 Maple St, Suite 2, Munising, MI 49862-1088 | 2016-05-20 |
| 1033513791 | Back In Motion Chiropractic LLC | Chiropractor | 1643 24th St W Ste 203, Billings, MT 59102-2677 | 2014-10-09 |
| 1801040654 | Back In Motion Chiropractic LLC | Chiropractor | 15132 E Hampden Ave., Suite C, Aurora, CO 80014-5038 | 2008-11-06 |
| 1699869115 | Back In Motion Chiropractic LLC | Chiropractor | 6415 S 3000 E Ste 250, Salt Lake City, UT 84121-6905 | 2006-10-02 |
| 1427079433 | Back In Motion Chiropractic LLC | Clinic/Center | 201 E Washington Ave, Lovington, NM 88260-4020 | 2006-07-22 |
| Street Address |
2835 UNIVERSITY AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972950699 | Ashley Lyn Reid | Chiropractor | 2835 University Ave, Waterloo, IA 50701-3335 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448370 | Tasha Marie Fuller | Chiropractor | 47 Virginia St, Waterloo, NY 13165-1444 | 2018-12-06 |
| 1922591452 | Amanda Hussman | Chiropractor | 203 E Tower Park Dr Ste B, Waterloo, IA 50701-9321 | 2018-06-09 |
| 1780067256 | Emily Michele Kruse | Chiropractor | 208 E Mill St, Waterloo, IL 62298-1519 | 2015-07-02 |
| 1598160590 | Kingsley D Kabari | Chiropractor | 1963 Us Route 20, Waterloo, NY 13165-8552 | 2014-11-03 |
| 1093114589 | Bryan D'aoust | Chiropractor | 430 Wagner St, Waterloo, NY 13165-6702 | 2014-08-20 |
| 1346552643 | Lance E. Vanderloo Dc PC | Chiropractor | 3731 Kimball Avenue, Waterloo, IA 50702-5728 | 2010-07-02 |
| 1528382793 | Schumann Chiropractic LLC | Chiropractor | 143 N Monroe St, Waterloo, WI 53594-1124 | 2010-03-17 |
| 1447572243 | Devin D Schumann | Chiropractor | 132 W Madison St, Waterloo, WI 53594-1320 | 2010-02-19 |
| 1669654356 | Hartzell Family Chiropractic, P.l.c. | Chiropractor | 509 Ansborough Ave, Ste A, Waterloo, IA 50701-2139 | 2007-12-04 |
| 1043410087 | Ebert Chiropractic Clinic PC | Chiropractor | 1445 Ansborough Avenue, Waterloo, IA 50701-3430 | 2007-07-18 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.