BACK 2 WORK CLINICS — NPI 1740899475 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Occupational Medicine in EAGLE, ID)

CMS-1500 Box 24J / 33a • NPI

1740899475

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

111NX0100X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Occupational Medicine

Box 32 Service Location & ZIP+4

950 E RIVERSIDE DR, EAGLE, ID, 83616-6020

✓ 9-Digit EDI 837 ZIP+4 (83616-6020)

Practice Phone & Referral Fax

(208) 965-2262

Fax: (208) 963-3299

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740899475 (BACK 2 WORK CLINICS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740899475` (NPI-2 Organization / Facility)
Provider / Legal Name	BACK 2 WORK CLINICS
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Occupational Medicine NUCC Code: `111NX0100X` (Chiropractor, Occupational Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	950 E RIVERSIDE DR, EAGLE, ID, 83616-6020
Practice Telephone / Fax	Tel: (208) 965-2262 \| Fax: (208) 963-3299
Administrative Mailing Address	PO BOX 382, MERIDIAN, ID, 83680-0382
Enumeration & Last Sync	Enumerated: 2020-07-29 \| CMS Record Updated: 2020-10-29
Authorized Official	XAVIER ORTIZ RAMIREZ (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

950 E RIVERSIDE DR, EAGLE, ID, 83616-6020

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Plain-English Taxonomy & CMS Crosswalk (111NX0100X)

What Does Taxonomy Code 111NX0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NX0100X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Occupational Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Occupational Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BACK 2 WORK CLINICS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QC1800X` — Clinic/Center, Corporate Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QH0100X` — Clinic/Center, Health Services Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QX0100X` — Clinic/Center, Occupational Medicine Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`111NX0100X` — Chiropractor, Occupational Health Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Occupational Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BACK 2 WORK CLINICS (NPI #1740899475)