Organization Active NPI

Back to Balance

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1073829362
Registry record updated Aug 24, 2010
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Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19698 Issued in CA
Legal business name
BACK TO BALANCE
Practice address
1358 4TH St
Santa Monica, CA 90401-1371
Phone
(310) 463-4111
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Eric Badener, DC
Title
Director/Chiropractor
Phone
(310) 463-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC19698 CA Primary

Addresses

Primary practice location

1358 4TH St
Santa Monica, CA 90401-1371

Mailing address

1158 26TH St
#149
Santa Monica, CA 90403-4698

Other names 1

  • Eric Badener, DC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1073829362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 26TH ST",
            "address_2": "#149",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011371",
            "telephone_number": "310-463-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BADENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "310-463-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Badener, DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.