ADVANCED BACK CENTER – Chiropractor, NPI 1043486947

ADVANCED BACK CENTER is a healthcare provider. based in Southington, Connecticut. specializing in Chiropractor. The organization holds a License No. 000938 (CT). The NPI Number for ADVANCED BACK CENTER is 1043486947

Main info

Organization
Name
ADVANCED BACK CENTER
NPI
1043486947
Phone
(860) 621-2225
Address
200 QUEEN ST
Authorized Official
STACEY KIM RAYA OWNER/PRESIDENT D.C.
Enumeration Date
1 May 2008
Last Update Date
1 May 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ADVANCED BACK CENTER

  • 200, Queen Street, North End, Southington, Hartford County, Connecticut, 06489, United States

    SOUTHINGTON, CT 064891901

    Phone: (860) 621-2225

    Fax: (860) 621-2868

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100727000265OClinic/Group PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06489)

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Reviews

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Frequently asked questions

How is ADVANCED BACK CENTER identified in CMS data?
CMS-hosted NPPES data lists ADVANCED BACK CENTER with NPI 1043486947.
Can I rely on ADVANCED BACK CENTER being an active provider?
As of the registry snapshot, ADVANCED BACK CENTER is marked active.
What is ADVANCED BACK CENTER's primary classification?
Chiropractor is the headline specialty for ADVANCED BACK CENTER here. Clinical services aligned with this taxonomy classification.
What area does ADVANCED BACK CENTER serve?
ADVANCED BACK CENTER's listing highlights Southington, Connecticut; more addresses can appear in NPPES.
Why does ADVANCED BACK CENTER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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