Organization Active NPI

Active Balance Chiropractic & Acupuncture Clinic, LLC

  • Chiropractor
  • Atwood, KS
National Provider Identifier
1083801559
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
T-01569 Issued in KS
Legal business name
ACTIVE BALANCE CHIROPRACTIC & ACUPUNCTURE CLINIC, LLC
Practice address
418 Main St
Atwood, KS 67730-1826
Phone
(785) 626-3274
Fax
(785) 626-3275
NPI assigned
Sep 28, 2007
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Dr. April J Green, DCNPI 1649466830
Title
Member
Phone
(785) 626-3274

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X T-01569 KS Primary

Addresses

Primary practice location

418 Main St
Atwood, KS 67730-1826

Mailing address

418 Main St
Atwood, KS 67730-1826
Phone (785) 626-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000138 KS Part B Supplier - Clinic/Group Practice 4789773615 Receives reassigned benefits from 1 practitioner
Practice locations: Atwood, KS

National Provider Directory

National Provider Directory

Locations

418 Main St
Atwood, KS 67730
Phone (785) 626-3274

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1083801559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MAIN ST",
            "city": "ATWOOD",
            "state": "KS",
            "postal_code": "677301826",
            "telephone_number": "785-626-3274",
            "fax_number": "785-626-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MAIN ST",
            "city": "ATWOOD",
            "state": "KS",
            "postal_code": "677301826",
            "telephone_number": "785-626-3274",
            "fax_number": "785-626-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE BALANCE CHIROPRACTIC & ACUPUNCTURE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "785-626-3274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "T-01569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.