Back in Balance Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002389A Issued in IN

Legal business name

BACK IN BALANCE CHIROPRACTIC, LLC

Practice address

18 N Boeke Rd
Evansville, IN 47711-6014

Phone

(812) 477-6200

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J Brock Falconer, D.C.

Title

Owner

Phone

(812) 477-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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.

• Jasper Brock Falconer, D.C.

  • Chiropractor
  • Evansville, IN
  • NPI 1518018712
  Medicare reassignment NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1073818738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N BOEKE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116014",
            "telephone_number": "812-477-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N BOEKE RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116014",
            "telephone_number": "812-477-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN BALANCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "FALCONER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-477-6200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002389A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jerry Babb, DDS
• Maurice Patrick Backer, LCAC
• Victoria Laurent Backer, MS, CCC-SLP
• Chelsae Backes
• Jill Elizabeth Bacon, OTR
• Ronald A Bacon, CRT, CRP

• Chiropractor in Evansville, IN
• Providers in Evansville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.