Organization Active NPI

Balanced Body Chiropractic LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1013031202
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04937 Issued in KS
Legal business name
BALANCED BODY CHIROPRACTIC LLC
Practice address
15053 Nall Ave
Overland Park, KS 66223-4900
Phone
(913) 278-5433
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Svetlana Mena, D.C.
Title
Owner
Phone
(913) 638-1595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-04937 KS Primary

Addresses

Primary practice location

15053 Nall Ave
Overland Park, KS 66223-4900

Mailing address

4808 W 140TH St
Overland Park, KS 66224-3400
Phone (913) 638-1595

National Provider Directory

National Provider Directory

Locations

15053 Nall Ave
Overland Park, KS 66223
Phone (913) 217-7153

14872 Metcalf Ave
Overland Park, KS 66223
Phone (913) 278-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1013031202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 W 140TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662243400",
            "telephone_number": "913-638-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15053 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234900",
            "telephone_number": "913-278-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-638-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.