Balanced Spine & Wellness, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BALANCED SPINE & WELLNESS, LLC

Practice address

6705 W 41St St
Sioux Falls, SD 57106-1290

Phone

(605) 636-5013

Fax

(202) 967-2307

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Telishia Devericks, DCNPI 1528419462

Title

Owner/Doctor

Phone

(605) 681-4173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Balanced Spine & Wellness Center Doing business as
• Balanced Spine & Wellness, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 4

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

• Telishia Devericks, D.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1528419462

  SD

  Medicare reassignment NPD Authorized official
• Michael Timothy Clarke, D.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1801134291
  NPD (past)
• Haley Elizabeth Luond, DC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1184124935
  NPD (past)
• Shiloh Heesch, DC

  • Sports Physician Chiropractor
  • Hastings, MN
  • NPI 1699345322
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1033778451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 S SADIE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067353",
            "telephone_number": "605-681-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061290",
            "telephone_number": "605-636-5013",
            "fax_number": "202-967-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED SPINE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "DEVERICKS",
        "authorized_official_first_name": "TELISHIA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "605-681-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528419462",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bswchiro.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "booking site",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Schedule",
            "address_1": "6705 W 41st St",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571061290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Balanced Spine & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balanced Spine & Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jada Lee Bakker, CNP
• Samantha June Bakker
• Balance Foundation Inc
• Balance Point
• Balanced Life Chiropractic PC
• Cynthia Ann Baldwin, CNP
• Glory Ball, LCSW
• Jennifer Ocallaghan Ball, PHARMD
• Scott M Ball, CRNA
• Daniel Joseph Ballard, DDS

• Health Service Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Health Service Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.