Creative Biology, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

001771 Issued in CT

Legal business name

CREATIVE BIOLOGY, LLC

Doing business as

Rainbow Remedies

Practice address

553 Hazard Ave
Rainbow Remedies
Enfield, CT 06082-4704

Phone

(860) 466-9072

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christos Balis, D.C., FASA

Title

Director

Phone

(860) 466-9072

Specialties & licenses 1

Addresses

Other names 1

• Rainbow Remedies Doing business as

Locations

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1114183431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 HAZARD AVE",
            "address_2": "RAINBOW REMEDIES",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824704",
            "telephone_number": "860-466-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 HAZARD AVE",
            "address_2": "RAINBOW REMEDIES",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824704",
            "telephone_number": "860-466-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE BIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "BALIS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-466-9072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., FASA"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "001771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Remedies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.