Organization Active NPI

Balanced Health Care LLC

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1083067409
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9705544-1204 Issued in UT
Legal business name
BALANCED HEALTH CARE LLC
Practice address
169 W 2710 South Cir
Ste. 204a
St George, UT 84790-7201
Phone
(435) 688-2292
Fax
(435) 688-2675
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. Brent Noorda, D.C.NPI 1346560299
Title
Ceo
Phone
(435) 688-2292

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7443716-1202 UT
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 9705544-1204 UT Primary

Addresses

Primary practice location

169 W 2710 South Cir
Ste. 204a
St George, UT 84790-7201

Mailing address

169 W 2710 South Cir
Ste. 204a
St George, UT 84790-7201
Phone (435) 688-2292

National Provider Directory

National Provider Directory
Tax ID family
Balanced Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

169 W 2710 South Cir
Ste 204A
St George, UT 84790
Phone (435) 688-2292

Practitioners & affiliated clinicians

Practitioners 2

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1083067409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR",
            "address_2": "STE. 204A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907201",
            "telephone_number": "435-688-2292",
            "fax_number": "435-688-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR",
            "address_2": "STE. 204A",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907201",
            "telephone_number": "435-688-2292",
            "fax_number": "435-688-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "NOORDA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-688-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7443716-1202",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9705544-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.