DR. MICHAEL B BACK DC
NPI 1962407080
Chiropractor in Vancouver, WA

Active since June 15, 2005Accepts Medicare Assignment
11802 NE 65TH ST, SUITE 100, VANCOUVER, WA 98662(360) 253-6883(360) 892-7040 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael B Back Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL B BACK DC (NPI 1962407080) is an individual chiropractor in Vancouver, Washington, licensed in Washington (CH00002774) and active in the NPI registry since June 2005. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1962407080
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL B BACKCredential: DC
Location Address11802 NE 65TH ST, SUITE 100Vancouver, WA 98662-5521
Mailing Address11802 Ne 65th St, Suite 100Vancouver, WA 98662-5521 · (360) 253-6883 · Fax (360) 892-7040
Fax(360) 892-7040
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 19, 2008
NPI 1962407080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH00002774
Definition
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.
11802 NE 65TH ST, Vancouver, WA 98662

Other Identifiers 5

Other0187146WA · Dept Of Labor & Inds.
Medicaid84058466WA
Medicare ID-Type Unspecified8804671WA
OtherP00169111WA · Medicare Railroad
Medicare UPINU75527WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael B Back Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820068026
PECOS Enrollment IDI20040727000385

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11802 NE 65TH ST
VANCOUVER, WA 98662
Physical Therapist
11802 NE 65TH ST, 100
VANCOUVER, WA 98662
Specialist
11802 NE 65TH ST, SUITE 100
VANCOUVER, WA 98662
Massage Therapist
11802 NE 65TH ST, SUITE 100
VANCOUVER, WA 98662
Specialist
11802 NE 65TH ST
VANCOUVER, WA 98662

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 Michael Back's NPI number?

The NPI number for Michael Back is 1962407080. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Michael Back located?

Michael Back practices at 11802 NE 65th St Suite 100, Vancouver, WA 98662. The listed phone number is (360) 253-6883.

What is Michael Back's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Michael Back enrolled in Medicare?

Yes. Michael Back is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Back accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michael Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Back was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.