NPIMap

Organization Active NPI

Balanced Body Chiropractic Center

  • Chiropractor
  • Naugatuck, CT
National Provider Identifier
1063681476
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001569 Issued in CT
Legal business name
BALANCED BODY CHIROPRACTIC CENTER
Practice address
223 Meadow Street Suite 3
Naugatuck, CT 06770-4180
Phone
(203) 723-5715
Fax
(203) 725-0540
NPI assigned
Feb 29, 2008
Last updated
May 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Dr. Jacqueline Dawn Flynn, D.C.
Title
Owner
Phone
(203) 723-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001569 CT Primary

Addresses

Primary practice location

223 Meadow Street Suite 3
Naugatuck, CT 06770-4180

Mailing address

223 Meadow Street Suite 3
Naugatuck, CT 06770-4180
Phone (203) 723-5715

National Provider Directory

National Provider Directory

Locations

223 Meadow St
Ste 3
Naugatuck, CT 06770
Phone (203) 723-5715

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1063681476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MEADOW STREET SUITE 3",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704180",
            "telephone_number": "203-723-5715",
            "fax_number": "203-725-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MEADOW STREET SUITE 3",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704180",
            "telephone_number": "203-723-5715",
            "fax_number": "203-725-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-723-5715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.