BACK IN ACTION SPINAL DECOMPRESSION CENTER
NPI 1194745943
Chiropractor in Southlake, TX

NPI Status: Active since July 21, 2006

Contact Information

680 N CARROLL AVE
SUITE 120
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 421-9111
Fax: (817) 421-9222

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  • Organization
  • Chiropractor

About BACK IN ACTION SPINAL DECOMPRESSION CENTER

This page provides the complete NPI Profile along with additional information for Back In Action Spinal Decompression Center, a provider established in Southlake, Texas operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1194745943 assigned on July 2006. The practitioner's primary taxonomy code is 111N00000X with license number 6658 (TX). The provider is registered as an organization and their NPI record was last updated 19 years ago. Back In Action Spinal Decompression Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Back In Action Spinal Decompression Center. The authorized official of this NPI record is Greg Davidovich Dc (Owner/provider)

NPI
1194745943
Provider Legal Name
GEMINI CONCEPTS, INC
Other Organization Name
BACK IN ACTION SPINAL DECOMPRESSION CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
680 N CARROLL AVE SUITE 120 SOUTHLAKE, TX 76092
Location Phone
(817) 421-9111
Location Fax
(817) 421-9222
Mailing Address
PO BOX 92248 SOUTHLAKE, TX 76092
Mailing Phone
(817) 421-9111
Mailing Fax
(817) 421-9222
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-21-2006
Last Update Date
11-30-2007
Code Navigator

A chiropractor like Back In Action Spinal Decompression Center helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
6658
License State
TX
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREG DAVIDOVICH DC

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(817) 421-9111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00X752MEDICARE PIN (08)TX 
0005NDOTHER (01)TXBCBS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194745943, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 4 + 4 + 1 + 0 + 9 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1194745943.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Chiropractor
680 N CARROLL AVE, 120
SOUTHLAKE, TX 76092
Physical Therapist
680 N CARROLL AVE, SUITE 120
SOUTHLAKE, TX 76092
Physical Medicine & Rehabilitation (Pain Medicine)
680 N CARROLL AVE, SUITE 120
SOUTHLAKE, TX 76092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194745943, enumerated as an "organization" on July 21, 2006.

The provider is located at 680 N CARROLL AVE SUITE 120 SOUTHLAKE, TX 76092 and the phone number is (817) 421-9111.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.