NPIMap

Organization Active NPI

Balance Wellness and Chiropractic Center P.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1023027828
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6466 Issued in CO
Legal business name
BALANCE WELLNESS AND CHIROPRACTIC CENTER P.C.
Practice address
415 W Rockrimmon Blvd Ste 400
Colorado Springs, CO 80919-1773
Phone
(719) 265-0115
Fax
(719) 265-0116
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Scott M. Gamm, D.C.NPI 1164695284
Title
President/Owner
Phone
(719) 265-0115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6466 CO Primary

Addresses

Primary practice location

415 W Rockrimmon Blvd Ste 400
Colorado Springs, CO 80919-1773

Mailing address

415 W Rockrimmon Blvd Ste 400
Colorado Springs, CO 80919-1773
Phone (719) 265-0115

Other identifiers 1

IdentifierTypeStateIssuer
168923OtherMOBC/BS PROV. ID

National Provider Directory

National Provider Directory

Locations

415 W Rockrimmon Blvd
Ste 400
Colorado Springs, CO 80919
Phone (719) 265-0115

Practitioners & affiliated clinicians

Practitioners 5

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1023027828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROCKRIMMON BLVD STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191773",
            "telephone_number": "719-265-0115",
            "fax_number": "719-265-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROCKRIMMON BLVD STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191773",
            "telephone_number": "719-265-0115",
            "fax_number": "719-265-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WELLNESS AND CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "GAMM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "719-265-0115",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROV. ID",
            "identifier": "168923",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.