OrganizationActive
The Back Stop LLC
NPI 1033521430 · Pain Clinic/Center · Yukon, OK
Provider details
- NPI number
- 1033521430
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Kimble, Chiropractor/Owner(405) 265-3920
- License
- 4154 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
373 S Yukon Pkwy Ste C
Yukon, OK 73099-4597
Phone: (405) 265-3920
Fax: (405) 265-3922
Street-level locationGet directions
Mailing address
373 S Yukon Pkwy Ste C
Yukon, OK 73099-4597
Other names (DBA / former)
- Doing business as
- The Back Stop
Registry dates
- Enumerated
- 2014-05-20
- Last updated
- 2014-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.