BACK HOME CHIROPRACTIC LLC
NPI 1639779473
Chiropractor in Fair Grove, MO
About Back Home Chiropractic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BACK HOME CHIROPRACTIC LLC (NPI 1639779473) is a healthcare organization registered as a chiropractor in Fair Grove, Missouri and active in the NPI registry since October 2020. The organization lists Michael Lentz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Back Home Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Back Home Chiropractic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Back Home Chiropractic LLC's NPI number?
The NPI number for Back Home Chiropractic LLC is 1639779473. It was assigned to this organization in the NPPES registry on October 30, 2020.
Where is Back Home Chiropractic LLC located?
Back Home Chiropractic LLC is located at 106 W Old Mill Rd, Fair Grove, MO 65648. The listed phone number is (417) 567-2001.
What is Back Home Chiropractic LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Back Home Chiropractic LLC enrolled in Medicare?
Yes. Back Home Chiropractic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Back Home Chiropractic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Back Home Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Back Home Chiropractic LLC was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Back Home Chiropractic Llc · NPI 1639779473
Chiropractor organization in Fair Grove, Missouri. Organization record, active in the CMS NPPES registry since October 30, 2020.
## Identity
- **NPI:** 1639779473 (Entity type: Organization)
- **Enumerated:** October 30, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Michael Lentz, OWNER
## Practice location
- **Address:** 106 W OLD MILL RD, Fair Grove, MO 65648-8646
- **Phone:** (417) 567-2001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639779473) · Data from the CMS NPPES public registry.