Back in Balance
Organization Active NPI Chiropractor · Republic, MO
NPI 1083363402 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1083363402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BACK IN BALANCE
- Practice address
- 591 E Elm St
Republic, MO 65738-1317 - Phone
- (417) 987-2444
- NPI assigned
- Mar 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Amber R Mitchell Stearns, DC
- Title
- Owner
- Phone
- (417) 885-9078
Practitioners 9
-
Micheal J. Miller, D.C.
-
Corbin Mixon, DC
-
Taylor Johnson, DC
-
Jill Nelson, DC
-
Samantha J Steed, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220329002951 | MO | Part B Supplier - Clinic/Group Practice | 7214323351 |
Receives reassigned benefits from 3 practitioners Practice locations: Republic, MO |
National Provider Directory
Locations
591 E Elm St
Republic, MO 65738
Phone (417) 987-2444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
591 E Elm St
Republic, MO 65738-1317
Mailing address
3952 S Fairview Ave
Springfield, MO 65807-4604
Phone (417) 885-9078
Other providers in Republic, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.